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Supported Accommodation
Opening Doors Project
Key Skills
Into Work Project
About Us
Mission, Values, Objectives
Time Line
What We Do
History
Projects & Activities
Housing & Homelesness
Supported Accommodation Middlesbrough
Supported Accommodation Stockton
Floating Support
Get Moveing
Accommodation and Support Services Panel
Working With Young People
Youth Project
Into Work Project
HOT
Fair Share
Key Skills
KeySkills Project
Training
Hartlepool Into Work
Opening doors
Description
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Campus Trading LTD
Community Building Ventures
Heaven
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Personal details
First Name
Surname
Address
Town
Postcode
Email
Telephone
Age Now
What are you currently doing
What are you currentley doing?
Full Time
Part Time
Unemployed
Doing Voluntary Work
Undertaking education/training
In Custody
Unable to work
Benefits
Are You On New Deal?
Yes
No
Have you been on New Deal in the last 3 months
Yes
No
Do you receive benefits
Yes
No
If yes, Please tick any that apply
Job seekers allowance
Income support
Incapacity benefit
Severe Disablement Allowence
Qualification
Do You Have a qualification
Yes
No
If yes, please state your highest qualification and grade
disability
Do You consider yourself to have a disability?
Yes
No
If yes, please describe your disability
What problems do you face?
Drugs Issues
Alcohol Issues
Rurally Isolated
Problems with numbers / maths
Problems with reading / writing
History of offending
Homeless
Workless Household
Other
Where did you first hear about Supporting Young Homeless Young People?
Community Campus
Family
Job Centre
Erimus Housing
Homeless Team
Leaving Care Team
Leaflet
Connexions
Other
Referral
Referral Organisation
Name
Contact Number
