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Personal Assistant Application Form Submission

Title: Mrs

Address 2: Fairwater
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’ve worked in various roles in the past with children, such as in Nurseries as a Nursery Nurse, or as a private Nanny. I’ve also done voluntary work in a playgroup and I’ve helped disabled children to learn to swim.

What qualities do you think are important when working as a personal assistant with a disabled person? (required): I think that the qualities of patience, understanding, calmness and of respecting a child’s right to confidentiality are important in this role. I would always treat the child with dignity and would ensure that their needs are being met.

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I think that I would support the child to attend any activities, which would help them to have a good quality of life. I would also encourage the child to make their own choices about what activities they would like to do.

What is it about PA work which appeals to you? (required): I like to be able to support the child, so that she can have the opportunity to meet others and enjoy whatever she likes doing. I also feel that it is very worthwhile when I can make a difference to the child’s life.

What are your hobbies/interests?: I enjoy going to the cinema, walking in parks and in the countryside, as well as reading and watching the TV with my husband. I like going swimming and going out for meals with friends and family.

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): Monday to Sunday daytime hours.

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): 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/

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, Penarth and Barry

How many hours of work can you offer per week? (required): 20

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/Sunday PM /