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FIND A BEFRIENDER

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.

EQUALITY AND DIVERSITY MONITORING DATA
What is your ethnicity? *

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box.

or

Do you consider yourself to have a disability or health condition? *
What is your sexual orientation? *
What is your religion or belief? *
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.