Referrals - Bridge Northumberland

Could our support benefit you?

To join the programme you can call/text on 07393 796522 or fill in the form below. We’ll get back in touch within 2 working days.

If you change your mind, we can remove you from our system. This programme is completely free and voluntary, find out what we offer.

To be able to join you must be:

Live in Northumberland
Aged 16 up to retirement age
Unemployed and not in education or training

Referring someone else?

If you work for an organisation and have a client who could benefit from our support you can use the form below to refer to us. Just tick when asked if you are referring on behalf of a client.

First Name*
Last Name*
Address line 1
Address line 2
Address line 2
Postcode*
Date of Birth*
Gender*
Phone number*
Email address
Best time to contact you*
Where did you hear about us?
Is this referral for you?*
PLEASE NOTE: If you a submitting a referral on someone’s behalf, you must have their permission. Do not enter anyone’s details without their permission.
- Yes
- No
Are you submitting a referral on someone’s behalf?

Please provide your name, email address, phone number, and the organisation you work for.
For Partner use only
please identify your organisation
Your information*
We will store your information on our system so that our staff can contact you and record any interactions you may have on the programme. We will never share your information outside of Bridge Northumberland without your consent.

By completing this form, you consent to us storing your information and contacting you about your involvement on the programme.
I agree
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