Personal Assistant Application Form Submission

Title *: Miss.

First Name *: Tiffany

Last Name *: Protheroe - Thomas

Address 1 *:

Address 2: Llantwit Fardre

Town *: Mid Glamorgan

County *: Pontypridd
Postcode *:


Please enter your email address for submission confirmation. *:

Reference number of job being applied for *: DP1545

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. *: 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. *: I have worked with homestart charity as a support worker for nearly 3 years and Im a level 2 teaching assistant with years of experience with Sen schools and 1-2-1 specialising in adhd, downs syndrome and autism

What qualities do you think are important when working as a personal assistant with a disabled person? *: Friendly, welcoming, approachable, client confidentiality, making sure they feel comfortable around you and are as comfortable as possible and all needs are met.

How do you think you can contribute towards the needs and the independence of a disabled person? *: With my experience I feel I could make them feel like they are valued again by taking them out to activities helping them arrange any appointments needed or get them advice if needed. Give them someone to talk to rather than feeling like their alone

What is it about PA work which appeals to you? *: I feel I could make a difference within the community and allow people to gain back their independence and have someone to talk to. I like helping people and making people feel better about themselves

What are your hobbies/interests?: Music, cinema, bowling, cooking, baking, swimming, reading, shopping, exercise

Would you consider a casual position if you are unsuccessful with this job? *: Yes

Do you drive? *: No

Are you a vehicle owner? *: No

Do you smoke? *: No


Are you able to undertake training? *: Yes
What days/nights are you able to work, or prefer to work? *: Monday to Friday between 9am and 4pm

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

If you would like to expand on the answers given above? Please use the box below.: Would need to arrange childcare so will need a little notice

Name *: e

Job Title *:

Address *:

Phone Number *:
In what capacity do

 you know this person (should not be a family member)?

Job Title *:
Address *:
Phone Number *:
In what capacity do you know this person (should not be a family member)? *: Friend of 5 years

If there is any such information you wish to provide? *: No

Please provide details if necessary: Dbs registered and ewc

I agree that there is nothing which would prevent me from doing this job. *: Yes

I consent to the above *: 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?: Pontypridd Porth Cardiff Llantwit Fardre Beddau

How many hours of work can you offer per week?: 20

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/
Further Information: