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Personal Assistant Application Form Submission 

 
Where did you hear about our PA vacancies? (required): Dewis CIL Website 
If you are applying for a position as a Micro Enterprise Carer, please enter your business name:: 
Title (required): Miss 


Address 2: Pentrebane 
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 8 years experience working with a.lady with brain damage which involves personal care, emotional support an taking her out 3 times a week .before that i did domiciliary care for 3 years 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): I think having patience is key but kindness and support. Having a good listening ear is also very important 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): I find these questions hard but i am very patient an enjoy helping people an listening to people an generally connecting with people .even if what i do makes a small difference to the service user or there families i feel like i have contributed something an it makes me feel happy . 

 
What is it about PA work which appeals to you? (required): I have always enjoyed caring an being a companion ,listening to there life stories i love.making even just a small diffrence to someones day makes me want to continue doing this job 

 
What are your hobbies/interests? (required): I wouldnt say i have any hobbies as i have two children aged 15 and 3 so they keep me pretty occupied .but when i do get the chance i enjoy walking and swimming. 

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

 
Do you speak any other languages? if so what do you speak?  (required): No 

 
Do you drive? (required): Yes 
Are you a vehicle owner?  (required): Yes 
Do you smoke? (required): Yes 

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

 
What days/nights are you able to work, or prefer to work?  (required): Monday tuesdays Fridays 

 
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.:Only childcare issues realy but i have a very reliable partner who is brilliant

 
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 

 
How many hours of work can you offer per week? (required): 4 

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