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Personal Assistant Application Form Submission

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): Been healthcare worker for 11 1/2 years Had many job rules Supported young adults and children In special-needs schools and colleges Worked in healthcare with young adults, children and elderly into their daily lives And working with young adults and young children with complex needs and End of life Support working in the community Qualified and trained First aid Manual handling Stoma Sleep apnoea Nebulisers Ministering medication Epilepsy and seizure awareness Epilepsy and seizure Ministering medication Food preparation Cerebral palsy awareness Autism awareness in young children and adults Challenging behaviour Personal care

What qualities do you think are important when working as a personal assistant with a disabled person? (required): What qualities I would bring when working as a personal assistant is Thinking on the spot Making task easier Centred learning Life skills Adapted to any thing that occurs Sense of humour Respect Politeness Good communication skills Encouragement

How do you think you can contribute towards the needs and the independence of a disabled person? (required): I believe independence of a client or services is learning About them first And strength and weaknesses, and where we can improve on and encourage all service users or clients to reach their goals In life

What is it about PA work which appeals to you? (required): The PA worker appeals to me to improve on peoples live but not do everything for them and just To be there for them even if it’s personal care or just a chat over coffee

What are your hobbies/interests?: Cinema Live entertainment Music gigs Comedy shows Rugby Travelling
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): N/a
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): Yes/

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): No

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): 20

Please indicate the approximate times that you are available for work throughout the week.: Monday PM/Monday Overnight/Tuesday PM/Tuesday Overnight/Wednesday PM/Wednesday Overnight/Thursday PM/Thursday Overnight/Friday PM/Friday Overnight/Saturday PM/Saturday Overnight/Sunday PM /Sunday Overnight/