Referral Form

30/8/19: We have closed to new referrals for the time being, because we do not have enough befrienders to match with people wanting a befriender. We hope to reopen our waiting list, and will update this webpage when we do

Client's Details
Please use this text box if the preferred demographic description is not available
Are there children living at home? If so, how many? Is there a partner?
Just the year on its own is fine
Referral Details
How English at Home works: Information for clients - EaH