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Personal Assistant Application Form Submission


Title: Mr

Town (required): Marshfield
County (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 been working as a self employed cleaner/ carer for nearly 10 years now and Im also a first point of contact for an elderly disabled 90 year young gentleman. I already have updated DBS certificate as well as references from various clients and companies I worked for in the past


What qualities do you think are important when working as a personal assistant with a disabled person? (required): Patience, speak clearly, understand the individual needs and interests and if possible make things light hearted fun for them


How do you think you can contribute towards the needs and the independence of a disabled person? (required): Build a relationship with the individual listen to them, understand them and show you care and want to help them be the person they want to be


What is it about PA work which appeals to you? (required): Helping someone today is a selfish thing to do but Rewards you far greater than any other feeling you could have as one day you might be the one wanting help


What are your hobbies/interests?: I play indoor bowls on Sundays I like all sports and Im interested in learning more about others and listening to their life stories


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


Do you speak any other languages? (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): Days


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


Do you have portable DBS (which has been paid for and renewed for the current year)? (required): Yes/


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? (required): 30


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