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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): Mr
First Name (required): M
Last Name (required): 
Address 1 (required): 
Address 2:
Town (required): Cardiff
County (required): Cardiff
Postcode (required): CF5
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):


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 almost 20 years experiance with in the health and social care sector. My most recent role wirh in H/S care was with Mighty Health Care working with a client that had cerebral palsy.


What qualities do you think are important when working as a personal assistant with a disabled person? (required): Punctuality, kindness, communication, a good understanding of the clients needs.


How do you think you can contribute towards the needs and the independence of a disabled person? (required): Previous experiance and previous training courses i have attended


What is it about PA work which appeals to you? (required): The persen centered care/support


What are your hobbies/interests? (required): Boxing, going to the gym and gaming and watching movies


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? (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): All day except saturday daytime


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.: No



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 West


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 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 Overnight/Sunday AM/Sunday PM /Sunday Overnight/