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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): G
Last Name (required): 
Address 1 (required): 
Address 2: St mellons
Town (required): Cardiff
County (required): South Glamorgan
Postcode (required): Cf3


Reference number of job being applied for (required): 


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 was a PA few years ago for a lady with cerabal palsy Also Ive worked in Domiciliary care for 6 years At the moment I care for my son who has Autism and mild learning Diffculty.


What qualities do you think are important when working as a personal assistant with a disabled person? (required): Im a naturally kind caring person Who thrives by helping and assisting people And providing Excellent work at all times. Im very professional and always confidential at all times.


How do you think you can contribute towards the needs and the independence of a disabled person? (required): By always trying my best and always providing excellent care standards at all times


What is it about PA work which appeals to you? (required): Its what I enjoy and have experience in. So can always provide good working relationship.


What are your hobbies/interests? (required): I love Animails Horses and Dogs Im a trained Dog Groomer so help family and friends with their much loved Pets to.. Enjoy walking, Reading


Would you consider a casual position if you are unsuccessful with this job? (required): No


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): No


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


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


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.: I care for my Autistic son so wouldnt be able to swap shifts very often


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 and the Vale


How many hours of work can you offer per week? (required): 15


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/