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Personal Assistant Application Form Submission


Where did you hear about our PA vacancies? (required): Dewis CIL Website

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): 1. Healthcare assistant 2. NHS administrator 3. University lecturer


What qualities do you think are important when working as a personal assistant with a disabled person? (required): 1. patience 2. enough knowledge about the disability and how does it affect a persons life 3. attentive and conscious


How do you think you can contribute towards the needs and the independence of a disabled person? (required): 1. be available emotionally and physically when needed 2. be flexible 3. respect privacy and confidentiality


What is it about PA work which appeals to you? (required): working with people rather than papers or devices


What are your hobbies/interests? (required): 1. reading 2. teaching 3. Socializing


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): Arabic


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): days only (any except Tuesdays and Thursdays)


Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): Yes


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): 2 days = 16 hours


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