Hello :)

We’re excited that you want to find a new friend! Simply fill out the form below and we’ll be in touch.

Please make sure to read our FAQ here, before sending us this form. If you’d like more information about any of our services, or just fancy a chat; please feel free to contact us with any questions before you sign up.

Please note that as of 1st of May 2019 our eligibility criteria has changed; we can now only offer this service to individuals with a learning disability.

Personal Details
Name *
Name
Date of Birth *
Date of Birth
Contact Details
Eligibility *
You can check if you might be eligible for one-to-one befriending before applying. If you have not already done so, please make sure to read the FAQ information about one-to-one befriending, on our members page.
Confirmation *
Please tick to confirm your information is accurate.
Your contact details and privacy *
Before submitting this form, you must click the checkbox below. This tells us that you agree that your information entered here, may be used by The Befriending Scheme to contact you in future. To find out more about how we use your data, you can click here to read our full privacy policy.