Skip to main content Skip to site footer

Refer Yourself Or Someone Else To The Tackling Loneliness Together Programme

Make A Referral For The Tackling Loneliness Together Programme

    Before proceeding to the next stage of the form, please provide your own details below.

    Referred Person's Details

    Please provide details of the person you are referring to the Tackling Loneliness Together programme below.

    If you selected 'someone else' on the previous page, please make sure that you filled in your own details on that page, and now fill in the details of the person you are referring.

    If you are referring yourself, please provide your own details below.

     

    Does the person have a learning difficulty or disability that affects their learning?
    Which projects do you think this person would benefit from? Select all options that apply.

    *All personal data is stored in accordance with GDPR and as per Preston North End Community and Education Trust's privacy policy. The privacy policy can be viewed here or a a hard copy can be requested in person.*

    Please confirm below whether you would like to be be directly contacted by PNECET in regards to any other information and marketing campaigns.

    Sometimes, PNECET may wish to send you further information or marketing materials about other services and programmes that we offer. Would you like to be contacted by PNECET in such instances?