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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
First Name (required): 
Address 1 (required): 
Address 2: 
Town (required): Cardiff
County (required): Cardiff
Postcode (required): CF14
Phone number (required): 
I consent to the above? (required): yes/
Please enter your email address for submission confirmation. (required): 


Reference number of job being applied for (if you are looking to apply for multiple jobs please put all reference numbers here there is no need to do multiple applications) (required): CDP2716


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 as a Teaching Assistant for ALN/SEN schools and have experience with children ages 6 months to 16 years old. Here I was responsible for planning activities indoors and outdoors, joining in with singing and dancing, supervising at meal times, toileting and aid with personal hygiene. I have personal experience caring for my autistic younger brother also.


What qualities do you think are important when working as a personal assistant with a disabled person? (required): Empathy and respect are very important when you are assisting a disabled person. You must always be patient and understanding of their needs and aim to make them feel comfortable and relaxed around you. I also believe observational skills are vital in anticipating needs and for making adjustments to avoid discomfort. For example bringing sunglasses on a sunny day to avoid sensory distress.


How do you think you can contribute towards the needs and the independence of a disabled person? (required): I am an empathetic person who can understand the needs of a disabled person and provide suitable support levels whilst allowing for independence or even learning if safe to do so. I will always promote self-advocacy and encourage the person to make decisions on our daily plans. I am there to support the person in their daily routines without taking over their independence.


What is it about PA work which appeals to you? (required): I love the idea of becoming a personal assistant, as rather than visiting multiple people in one day for short periods of time, you are able to really bond and connect with a singular person. The role of making somebody’s daily life more comfortable and more fun would be a privilege.


What are your hobbies/interests? (required): I am a very creative and free-spirited person. My hobbies include crochet, painting, drawing, video games, reading, music, camping, walking and cooking! I love to collect plushies and miniatures.


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): N/A


Do you drive? (f you do not drive please ensure the job you are applying for is a non driving role) (required): No


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): Any and all


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


If you would like to expand on the answers given above? Please use the box below.:


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 am happy to apply for a new DBS.


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/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/Saturday AM/Saturday PM/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/