Referrals

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Referrals

Doncaster Rovers are joining 31 EFL clubs as part of a major new programme to tackle loneliness among older people.

The Foundation at Club Doncaster will be working hard to connect older people at risk of loneliness at a time when the Coronavirus has resulted in many individuals facing prolonged periods of isolation.

The Tackling Loneliness Together project will include befriending phone calls, online social groups, postal support and socially distanced ‘garden gate’ conversations.

If you know someone who may be interested in receiving our support please answer the questions below. BEFORE referring anyone to the project please consult the person you will be referring and seek their permission to submit this form on their behalf.

If you are contacting us because you require support please complete the Expression of interest form by following this link https://forms.gle/ppdvfDRatTP728ma7.

Your name *

Relation to the person you are referring *

Details of person you are referring:

First name *

Surname *

Telephone number *

Confirm telephone number *

A member of our project staff or volunteer team will call the person you have referred within the next TWO weeks to discuss how we can help them. If they do not receive a call please contact us via email:

scottcopeland@clubdoncasterfoundation.co.uk

We respect your right of privacy to have your data kept securely. We will never exchange your details or sell your data to any other commercial organisation or charity. For full details of our Privacy Policy please visit www.clubdoncasterfoundation.co.uk

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Club Doncaster Foundation. Report Abuse

Forms