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ELEVATE PSP
RECOVERY EMPLOYABILITY SERVICE
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RECOVERY EMPLOYABILITY SERVICE
PARTNER TESTIMONIALS
BECOME A PARTNER
CONTACT US
Menu
HOME
WHAT WE DO
ABOUT US
GETTING STARTED
ELEVATE PSP
RECOVERY EMPLOYABILITY SERVICE
ELEVATE & THE LGBT COMMUNITY
MEET THE TEAM
JOB VACANCIES
OUR IMPACT
POSITIVE STORIES
ERASMUS PLUS
EEARS
PUBLICATIONS & REPORTS
OUR PARTNERS
ELEVATE PSP
RECOVERY EMPLOYABILITY SERVICE
PARTNER TESTIMONIALS
BECOME A PARTNER
CONTACT US
GETTING STARTED
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To begin your Elevate journey we require some personal information so we can get in touch with future participants and see what we can do to support their personal and professional goals.
Some important information before you start:
Please read our
Code of Conduct & Data Protection
Please note this service is only open to people in recovery from drugs and/or alcohol.
For support completing the referral form, call
0141 353 1800
and ask to speak with a member of the Elevate team
Name
*
First
Last
Address
*
Postcode
National Insurance Number
Date of Birth
*
Ethnicity
Drop down to choose an option
White - Scottish
White - Other British White - Irish
White - Gypsy/Traveller
White - Polish
White - Other White
African - African, African Scottish or African British
African - Any Other African Ethnic Group
Arab, Arab Scottish, Arab British
Asian/Asian British - Pakistani, Pakistani Scottish or Pakistani British
Asian/Asian British - Indian, Indian Scottish or Indian British
Asian/Asian British - Bangladeshi, Bangladeshi Scottish, Bangladeshi British
Asian/Asian British - Chinese, Chinese Scottish or Chinese British
Asian/Asian British - Any Other Asian
Caribbean or Black - Caribbean, Caribbean Scottish or Caribbean British
Caribbean or Black - Black Scottish African
Caribbean or Black - Black British African
Any Mixed or Multiple Ethnic Group
Any Other Ethnic Background
Not disclosed
British
Turkish
Scottish
Email
*
Email
Confirm Email
Contact Number
*
Gender
Male
Female
Non-binary
Transgender
Prefer not to say
If you describe your gender with another term, please provide it below
How did you hear about Elevate?
Website/ online
Poster/flyer
Word of mouth
Event/Other (please specify in the space below)
If other, please detail below
We support individuals at various stages of their employability journey. What is your current Employment Status?
*
Drop down to choose an option.
Unemployed
Volunteering
Student
Vocational Training
Working Full time
Working Part-time
Long-term Sick
What are your reasons for seeking support (Please tick all areas you feel may apply to you) (potential obstacles/previous experience)
*
Long term unemployed
Limited/No work experience
Homelessness
Criminal Convictions
Caring responsibilities (adult)
Lone parent
Caring responsibilities (children)
Recovery
Work related issues
Mental Health
Community justice
Physical Health
Do you currently report to Community Justice Social Work or any other Authority?
*
Drop down to choose an option.
Yes
No
Are there any restrictions we need to be aware of?
*
Drop down to choose an option.
Yes
No
Please describe in the box below.
Are there any area you would like advice and guidance?
*
Skill match to careers
How to return to work
How to apply for courses
Volunteering opportunities
Access to Peer community
Group work
CV preparation
Application support
Disability – do you consider yourself to have?
No disability or impairment
A sensory impairment
A learning disability
A physical impairment
A mental health condition
Any other disability or impairment
Note: The disability categories used are broadly based on the definition of a disabled person in the Equality Act 2010, i.e. someone who has a physical or mental impairment, and the impairment has a substantial and long-term adverse effect on the person’s ability to carry out normal day-to-day activities.
Best time to call
Mornings
Afternoons
Both
Referrer details if applicable (Name, organisation, email address and number)
If there is any other information we should be aware of, or you would like to add, please use this box.
Elevate's Code of Conduct & Data Protection. I have read and understood the above information and I confirm that;
*
1. All information given in this form is accurate and truthful
2. I agree to abide by the terms of the Participant Code of Conduct of Elevate
3. I consent to my details being stored and used as detailed in the Data Protection Notice.
4. I give consent for this information to be forwarded to Elevate and its partners.
Signed
Date
Submit