Bramber Bakehouse

Befriending service self-referral

"Befriending offers a supportive, reliable relationship to people who would otherwise be socially isolated"

Befriending Networks

Please read the Bramber Bakehouse Befriending Leaflet before completing this form as it provides key information about the service.

Please complete all sections of this form, providing as much detail as possible will support the Coordinator to:

1) Assess whether the befriending service is appropriate for your current needs
2) Match you with a suitable befriending volunteer

Address
Please tell us your reasons for requesting befriending support, tick as many boxes as are relevant to you:
Are you currently taking part in any other activities outside of Bramber Bakehouse that support your wellbeing? (e.g. hobbies, social groups, courses, volunteering, paid work)
Please confirm you are:(Required)

About your availability & preferences for befriending:

Befriending takes place for up to 16 sessions. Calls take place between Monday - Thursday 9am to 5pm lasting up to 30 minutes per session. Where possible befriending calls will take place at the same day and time each week.

What is your preferred format for befriending calls:

When would be the best time for your befriending calls:

Please select all the times that you could make.

Monday
Tuesday
Wednesday
Thursday

How will you use my data

I consent to the information contained in this self-referral form being shared within Bramber Bakehouse and, if necessary, with relevant parties working in partnership with Bramber Bakehouse.
MM slash DD slash YYYY

If have any questions about this form please get in touch:
Dionne Widgerey, Progression Support Coordinator, 07946 334180 or email befriending@bramberbakehouse.co.uk