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Become a Befriendee

Application Form

Personal Details
Contact Details

Preferred method of contact *

Preferences

Preferred Telephone Befriender Gender

Preferred Telephone Befriender Age

Preferred time slots to receive your calls.

Monday

Tuesday

Wednesday

Thursday

Friday

Additional Information

Please briefly share any additional information about yourself that you would like us to know.
This section is a great opportunity to tell us about your interests & hobbies

Contacts

In case of any emergencies please provide us with the contact details of a preferred emergency contact person. By completing the section below, you have given us consent to contact the named person should the need arise.


Declaration and Consent

I confirm that the information provided is accurate to the best of my knowledge and belief.

I agree to the provider of the information and documentation telling The Bridge Project whether it is genuine and/or correct or in what way(s) (if any) it is not genuine and/or correct.

I agree to the disclosure to The Bridge Project of any relevant data (including personal data) that the provider of the information or documentation holds on me for the above purpose. If I have not supplied correct information or documentation to The Bridge Project may disclose my relevant correct data (including personal data).

If you do not get a response from us within 5 working days of submitting this application form then please kindly call us on 01274 952200 or alternatively you can email: befriending@thebridgeproject.org.uk.