Revision Referral Form
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.
Participant Info
*
Date: is invalid, use the following format dd-mmm-yyyy
Date: is required
*
Forename is required
Forename is required
Invalid characters: < > in Forename.
*
Surname is required
Surname is required
Invalid characters: < > in Surname.
*
Are you a Together Housing Tenant? is required
Email is required
Email is not valid
Invalid characters: < > in Email.
*
Mobile is required
Mobile is required
Invalid characters: < > in Mobile.
Mobile number must be 11 digits
*
Date Of Birth is invalid, use the following format dd-mmm-yyyy
Date Of Birth is required
National Insurance is required
National Insurance is not valid, (AA123456A).
Invalid characters: < > in National Insurance.
Are you currently working?*
Are you currently working? is required
Are you currently in receipt of benefits?*
Are you currently in receipt of benefits? is required
Eligible to work in the U.K?*
Eligible to work in the U.K? is required
How did you hear about us?
Are you signing yourself up?*
Are you referring yourself to the programme? is required
*
How did you hear about us is required
Additional Info
Invalid characters: < > in specific support required?.
Invalid characters: < > in Anything else you would like to tell us?.
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Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.