Kickstart Referral Form

Back to the Portal

Welcome to the contact portal for Newground Together in Lancashire.

This is where you can register your interest in our Employment & Skills Programmes.

We offer:

✓1:1 Personalised service, working on what matters to you

✓Access to Learning & Qualifications (for employed or unemployed customers)

✓Employment support; inc. CVs, job applications, interview techniques, careers advice

✓Support in applying for jobs online and attending online interviews

✓Support your Health & Wellbeing in the Workplace

✓Support to overcome personal challenges & barriers

✓6 month paid Work Placements (16yrs – 24yrs)

✓Supporting you in becoming more active in your community inc. access to volunteering opportunities

You can fill this information out yourself or on behalf of someone you are supporting, with their permission.

Once you hit submit, one of the Team will be in touch to explain your options and tell you more about the programmes.

Date*

Participant Info

Title

Forename*

Surname*

Postcode:

Building Name:

Secondary Name:

Street:

District:

Town:

County:

Are you a Together Housing Tenant?*

Email*

Mobile*

Date Of Birth*

National Insurance

Are you currently working?*

Yes No

Are you currently in receipt of benefits?*

Yes

Eligible to work in the U.K?*

Yes No

How did you hear about us?

Are you referring yourself to the programme?*

Yes No

How did you hear about us*