547RCT Personal Assistant Application Form Submission Title (required): Mr.Town (required): CardiffCounty (required): Mid GlamorganI 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): YesPlease 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 look after my wife,as she has ill health and is in a wheelchair and other members of the family are there to look after her while Im in part time employment else where.What qualities do you think are important when working as a personal assistant with a disabled person? (required): Make sure service users safe and secure when in vehicle ,and also making sure that the service user is safe at home in their wheelchairHow do you think you can contribute towards the needs and the independence of a disabled person? (required): Depending on the service users circumstances are identified be there to cater for their needs for every day Im needed thereWhat is it about PA work which appeals to you? (required): Im used to working with disabled people as I have a disabled wife so there forei cando itin the communityWhat are your hobbies/interests?: I enjoy walking the dog and I do metal detecting sometimes I go fishingWould you consider a casual position if you are unsuccessful with this job? (required): YesDo you speak any other languages? (required): NoDo you drive? (required): YesAre you a vehicle owner? (required): YesDo you smoke? (required): NoAre you able to undertake training? (required): YesWhat days/nights are you able to work, or prefer to work? (required): What ever shifts are requiredAre there any circumstances which would prevent you from providing cover or swapping a shift? (required): NoIf you would like to expand on the answers given above? Please use the box below.: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): YesI consent to the above (required): YesI agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: YesWhat geographical area’s are you able to cover?: Tonypandy williamstown porthHow many hours of work can you offer per week? (required): Under 16 per weekPlease indicate the approximate times that you are available for work throughout the week.: Monday AM/Tuesday AM/Wednesday AM/Thursday AM/Friday AM/Sunday AM/Further Information: