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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 have recently worked with a agency working within sen schools, learning and understanding skills and communication of working with children and young adults with ASD. I have had experience with challenging behaviours, children with learning difficulties and helping to support them with educational and personal needs. I have previously worked a young child with ASD being a personal assistant, taking her out in the public, helping work with her on her social skills and communication. 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Its important to have patience and understanding when working with individuals with additional needs and PMLD. To be kind, caring, punctual, reliable and trustworthy. Punctuality is important and necessary. 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I can contribute to the needs of the individual by being a reliable support and helping them with their day to day needs. 

 
What is it about PA work which appeals to you? (required): I really enjoy helping others and bringing happiness to their lives. Personal assistant work appeals to me because it gives me the opportunity to grow my knowledge and understanding of supporting others. 

 
What are your hobbies/interests?: I love to be sociable and love being outdoors finding adventure and having fun. I also have a passion for creating, making art, and always love finding new things to do! 

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

 
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 am fully flexible, except over nights 

 
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.: 

 
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?: Cardiff 

 
How many hours of work can you offer per week?: 30 

 
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/ 
Further Information: