Referral Form

Before we start...

WE Work for Everyone engages and supports people with a learning difficulty, learning disability and autistic people to identify ways to move closer to the labour market.

Please make sure you meet all the WE Work eligibility criteria below:(Required)

I have a learning difficulty, learning disability or am autistic
I have the right to live and work in the UK
I live in either Bristol, Bath and North East Somerset or South Gloucestershire.
I am not in employment
I am 16 years or over
I aspire towards paid work

Yes - I meet all of the criteria above

Who is completing this form?

I am completing this form for myself

I am completing this form on behalf of someone else

What is your relationship to the participant?

I’m a parent / guardian / relative / friend

I’m a professional working with this person

Name of referrer

Relationship to the person being referred

Referrer job title

How I support this person

Referrer Phone Number

Referrer Email Address

Name of Organisation?

Would you like to receive updates about the WE Work programme?

By ticking ‘yes’ I understand my email address will be added to the WE Work for Everyone mailing list.

Yes

No

Person being referred

Contact details

First Name(Required)

Surname(Required)

Address(Required)

Postcode(Required)

Phone Number(Required)

Email Address(Required)

Date of Birth(Required)

Gender(Required)

Please tell us the best way to contact you? (tick all that apply)

Phone

Text

Email

Letter

Consent and Privacy

All information provided will be treated confidentially and in accordance with the General Data Protection Regulation (GDPR) and UK Data Protection Laws (UK GDPR & DPA 2018). It will be stored by the Council and used to compile anonymous statistics to inform the Council and its funding partners. Personal and sensitive information will be used solely for the purpose of equalities monitoring to ensure that everyone is treated fairly.
Please read our Privacy Notice and an accessible version Here .

My Information(Required)

I have read the above Privacy Notice and consent to my information being used in this way

My Consent(Required)

I give my consent to WE Work to contact my referrer/referral organisation to support my enrolment onto the programme.

I do not give my consent to WE Work to contact my referrer/referral organisation to support my enrolment onto the programme.

I also consent to sharing the following with WE Work, if they apply to me:

My EHCP (Education Health and Care Plan)

My Vocational Profile

Your name(Required)

Date of Signing(Required)

Signature

If you are unable to use the signature box, leave it blank and we will help you at your first meeting.

How We Are Funded:

The West of England Combined Authority is working in partnership with WE Work for Everyone to deliver the Mayoral Priority Skills Fund. This fund provides flexible grants to meet current priority skills gaps in the region. This project is funded by the UK government through the UK Shared Prosperity Fund. WE Work for Everyone programme is delivered by Bristol City Council in partnership Bath and North East Somerset Council and South Gloucestershire Council.

Phone

This field is for validation purposes and should be left unchanged.

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Referral Form

Before we start...

Person being referred

Contact details

About You

Support services & work

Consent and Privacy

Contact us

The website has not been optimised for viewing at this size yet. Please only view the website in a desktop browser, not on a mobile or tablet device.

Referral Form

Before we start...

Person being referred

Contact details

About You

Support services & work

Consent and Privacy

Contact us

Sign up for our email