Befriending phone calls - Registering your interest

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* 1. Personal details

Full Name

Email Address

Phone number

Nearest Town

Postcode

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* 2. Do you have relevant experience? (for example, previous work as a carer?)

Yes

No

Please explain

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* 3. Why are you interested in befriending? Do you have any concerns?

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* 4. What do you think befriending may look/feel like? And how could it be of value?

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* 5. Please indicate what days and times you can commit to during the week

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* 6. Are there any particular criteria (such as age, or mutual hobbies) you would like us to consider when making an introduction?

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* 7. How many people could you imagine supporting? And how often?

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* 8. Do you think in the new year you would potentially be interested/able to co-host the Zoom sessions with other volunteers?

Yes

No

Any comments?