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Personal Assistant Application Form Submission 

Title (required): Miss. 

Town (required): Cardiff 

I confirm that I have the right to work in the UK and am able to prove my eligibility status when required to do so. (required): Yes 

Please read the Job Description carefully before providing information in this Section of the Application Form. Give details of your previous employment or experience which you think would help you to do this job. (required): Ive previously worked in retails and call centres, i this m my experience in being a mum of 4 would help with this role, I have children ranging from a teenager to as young as 1. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): I think a few main key points are understanding the person and their individual needs, patience, a positive attitude and genuinely caring. 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I think I have the ability to encorgage a person that I would help them if ever they were struggling to do anything independently 

What is it about PA work which appeals to you? (required): I love caring for people and seeing people happy, I feel this would be an ideal role, to provide rest bite and for a person to see my regulary and make my face fimilar. 

What are your hobbies/interests?: I love spending time with my family and friends, I enjoy walking, visiting new places, shopping. 

Would you consider a casual position if you are unsuccessful with this job? (required): No 

Do you drive? (required): Yes 
Are you a vehicle owner?  (required): Yes 
Do you smoke? (required): No 
Are you able to undertake training? (required): Yes 

What days/nights are you able to work, or prefer to work?  (required): I can work any days/nights as long as I know ahead for my own childcare. 

Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): Yes 

If you would like to expand on the answers given above? Please use the box below.: I would need a rota so I could fix my own childcare. 

Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? (required): No/ 

Please provide details if necessary: 
I agree that there is nothing which would prevent me from doing this job. (required): Yes 
I consent to the above (required): Yes 
I agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: Yes 

What geographical area’s are you able to cover?: Anywhere within Cardiff. 

How many hours of work can you offer per week?: 16 

Please indicate the approximate times that you are available for work throughout the week.: Monday AM/Monday PM/Tuesday AM/Tuesday PM/Wednesday AM/Wednesday PM/Thursday AM/Thursday PM/Friday AM/Friday PM/Saturday AM/Saturday PM/Sunday AM/Sunday PM / 

Further Information: Im available day or night.