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“Helping People in Surrey organise and control their own care and support arrangements.”

Seeking a PA

Employer Registration Form - Part 1 of 4

Please complete the form below as accurately and thoroughly as possible if you are looking to find a suitable PA. The information provided will be used to compare compatibility with people who wish to become carers. This information will remain on the website for a maximum of 6 months but please contact us if your situation changes so the website can remain as accurate as possible.

Why not go to Find a PA to see if there are any PAs that are compatible with your needs?

If you need any help with this form click the Help link below or do please contact us.

Help - Opens in new window

Who - All About You

Tell us about yourself. These details will appear in your advert on the web site.

• Gender

  Male Female

• Do you smoke?

  Yes No
• Briefly describe yourself. The first two lines will appear on the front page of your advert.
• Do you have any pets? Please give brief details or leave blank if you don't have any.