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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): I completed a few days of work experience at AZ Caring Services which showed me the ins and out of caring for individuals. Furthermore, one of my parents is a carer which means ive been shown what is needed when caring for individuals with unique needs. As a psychology undergraduate, i believe i have the empathy needed when caring and assisting individuals. I can also take care of children which is showcased from me babysitting the children of several locals which the client may need me to do. 

What qualities do you think are important when working as a personal assistant with a disabled person? (required): I believe a degree of patience and empathy is needed to be able to address their needs without issues. Furthermore, one needs to be quick on their feet and can offer great company to the individual as they often feel lonely 

How do you think you can contribute towards the needs and the independence of a disabled person? (required): By being present and offering them your services whilst on call. Furthermore they often require company , so talking and making them feel heard is often important 

What is it about PA work which appeals to you? (required): Being able to help individuals and just offer them solace. I find it rewarding to be able to have a job with meaning. 

What are your hobbies/interests?: I like reading, knitting, watching movies and sometimes dancing 

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): Any 

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?: Most of Cardiff 

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

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