Two's Company Partnership Application

Instructions

Thank you for your interest in setting up a Two's Company befriending scheme to support socially isolated people in your community.

Please arrange to complete the answers below to provisionally partner with us. We will then contact you to confirm next steps.

If at any stage you have any questions or concerns, please contact a member of the team.

Name of person completing registration *

First name & surname

Position (where applicable)

Church leader name (or equivalent) *

Name of Two's Company coordinator (if known)

Name of Church/ Organisation *

Correspondence Address *

Correspondence Address

Town/City

County

Postcode

Country

Church/ Organisation Office Phone *

Coordinator Phone (if known)

Correspondence Email

Website/URL

Charity number (if applicable)

Governing body/ structure

Name of community served (Town/ Village/ Area)

Please confirm that your leadership team is in agreement with this scheme being established

Yes