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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): Cleaning I have great communication skills as I worked with different types of people and who were different ages. I adapt to a new environment very fast and I’m very kind, welcoming and empathetic. Always ready to help. I also took care of my sick grandfather who lost his availability to walk a year before he passed away. So I’m very patient too 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): To be warm, kind, bubbly, loving, welcoming, understanding and patient 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I’d be their friend. Help them feel more comfortable and confident in my presence 

What is it about PA work which appeals to you? (required): Helping people who struggle doing certain tasks 

What are your hobbies/interests?: I love cleaning and organisation 

Would you consider a casual position if you are unsuccessful with this job? (required): Yes 

Do you drive? (required): No 
Are you a vehicle owner?  (required): No 
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): Mon to fri preferred (any day available) 

Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No

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/ 

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?: Cardiff 

How many hours of work can you offer per week?: 40 

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/ 

Further Information: Above are preferred times although free anytime