Young Men's Group Application Form

Address

Emergency Contact

Your current support

Are you currently supported by any services?
Have you been signposted to this group by an organisation or support worker?
Permission to contact this person in an emergency or to discuss your support needs before you start the group

We want to provide a safe and supportive environment for all our group members. In order to do this we need to know a little bit about you and your needs. Anything you share will be treated as confidential.

Please think about the following statements and give a rating for each (1= not at all confident, 4= very confident)
The Holburne Museum