Personal Assistant Application

Please bear in mind to be eligible to become an Origin carer/PA, for people with spinal cord injuries, you MUST be:

Aged between 21 and 55*
Hold a full clean driving licence that allows you to drive a car in the UK
Legally allowed to work in the UK
Able to speak good English

Please complete the form below to register with us. All fields are compulsory.
Once you have started completing your application you can’t leave and come back so make sure you have the time to complete it in one go.

Name(Required)

Title First Last

Contact number(Required)

Email address(Required)

Do you hold a full clean driving licence that allows you to drive a manual car in the EU / UK / AUS or NZ?(Required)

Yes

Do you hold a full clean driving licence from Andorra, Barbados, Canada, British Virgin/Cayman/Falkland/Faroe Islands, Gibraltar, Hong Kong, Isle of Man, Japan, Jersey, Monaco, Republic of Korea/North Macedonia, Singapore, South Africa, Switzerland, Taiwan, Ukraine, United Arab Emirates or Zimbabwe?(Required)

Yes

If you’re not a UK citizen, please state what type of visa you hold to be in the UK?

Are you prepared to live in a client's house for 14 days(Required)

Yes