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Personal Assistant Application Form Submission


Where did you hear about our PA vacancies? (required): Facebook


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): Im a 47 year easy going male. I love the outdoors and look forward to new challenges. Im honest and reliable


What qualities do you think are important when working as a personal assistant with a disabled person? (required): Being able to listen and treat people with respect and a kind nature


How do you think you can contribute towards the needs and the independence of a disabled person? (required): Im a pretty confident person so will be able to help to motivate and be there when needed


What is it about PA work which appeals to you? (required): Helping others in the community


What are your hobbies/interests? (required): Outdoors , sports and animals


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): 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): Any


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?: Bridgend, Rhondda cynon taff and Cardiff


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/Sunday AM/Sunday PM /