Self-referral enquiry form

If you have a disability and you're interested in coming to Share, please complete the form below.

If you are a social care professional, or a parent or carer, completing this form on behalf of someone else, please click the 'refer someone else' button above.

For further information or help filling out this form please email wellbeing@sharecommunity.org.uk or telephone 020 7924 2949.

Your personal details
Do you have a disability?
If you have a disability, please tick all that apply
Application Details
There is a cost to attend Share, depending on the number of days attended, do you know how your place will be funded?
Have you studied at Share before?
Do you have a social worker?
Which Share services are they interested in?
Share operates across four sites, which site(s) are you interested in attending?