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Personal Assistant Application Form Submission

Title: Miss

Town (required): Cardiff
County (required): Wales


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 previously worked for someone in a wheelchair. I would take her out and take her places and I would make sure she was happy

What qualities do you think are important when working as a personal assistant with a disabled person? (required): Time keeping Respectful Making sure you are okay and if you need anything

How do you think you can contribute towards the needs and the independence of a disabled person? (required): Make sure they have eaten and make sure they are okay

What is it about PA work which appeals to you? (required): Helping people I want to be able to help someone get around and not be stuck in

What are your hobbies/interests?: My hobbies is watching movies

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): No
Are you a vehicle owner?  (required): No
Do you smoke? (required): Yes

Are you able to undertake training? (required): Yes

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/

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?: Llanishen Heath

How many hours of work can you offer per week? (required): 25

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/