PA 42

Personal Assistant Application Form Submission 

 
Where did you hear about our PA vacancies? (required): Maximus UK 
Title (required): 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): Caring for elderly cleaning care for my nan 

 
What qualities do you think are important when working as a personal assistant with a disabled person? (required): Making them feel safe and help with there needs 

 
How do you think you can contribute towards the needs and the independence of a disabled person? (required): Helping with there daily needs 

 
What is it about PA work which appeals to you? (required): Love the elderly helping them to feel elderly lead a good rest of there life but helping with things they cannot do by them selves 

 
What are your hobbies/interests? (required): Reading jogging swimming 

 
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): No 
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): All 

 
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?: 

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

 
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/