Becoming a New Member Form

Heart Reach aims to provide a safe, stable and supportive space for creative people recovering from mental health problemsallowing them to come together to share skills and re-build confidence by making and selling artwork and crafts.We promote wellbeing and healthy life choices for our members and the local community.

Name:
Telephone Number:
Email:
Date of Application

Question 1:Can you answer yes to the following?

Yes / No
Do you feel able to manage your mental health?
Do you feel sufficiently recovered to move on in your life?
Are you happy to work part of a team?
Are you happy to contribute your time and skills for the benefit of Heart Reach?
Are you willing to be part of a supportive community of like minded people?
Are you happy to complete a DBS form (Data Baring Service? (at our expense )

Question 2: What days are you available?

Day / Monday / Tuesday / Thursday / Saturday / Sunday
Time / 10 - 5 / 2 - 5 / 10 - 5 / 10 - 5
Activity / Project / Knitting / Project / Selling Days/Craft Fairs
Every week
Occasionally

NB You need only do a few hours each day

Question 3:

From the following, what skills would you like to learn or improve at Heart Reach?

Knitting / Crochet / Screen Printing / Jewellery Making / Mosaics / Sewing / IT / Web / Face Painting / Other
Learn
Improve
Teach

Question 4:

From the following, what activities would you like to take part in and why?

Making Products / Admin / Book keeping / IT / Social Media / Selling / Transport / Research / Shopping
For materials
Tick
Experience

Question 5: How did you find out about Heart Reach?

Word of Mouth / Member / At an Event / Referred by another organisation / Leaflet / Website / Social Media
Tick

Please email your completed application to:

What happens next:

If your Application looks promising, we will call you for a phone chat and then invite you to visit the Project at a quiet time to see if the project is the place for the next part of your journey.

Many thanks for your interest in Heart Reach.

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