Not currently taking referrals

Due to funding issues, we are not currently taking referrals. Please contact us if you have any other queries.

Referring myself to Growing Forward

If you are unsure if Growing Forward is for you, please do get in touch with us.

We support people who are…

living in Nottingham
experiencing any of the following: loneliness, isolation, anxiety, depression
in their own opinion living with mild to moderate support needs
able to make the weekly sessions to the best of their knowledge (Wednesday mornings at Windmill Community Gardens in Bobbers Mill)
able to get to the garden (we may be able to provide travel assistance soon via GreenSpace Green Buddies)
feeling they have ‘slipped through the net’
unemployed or underemployed / on benefits / low income
willing and able to do some gardening at their level (this could be gentle activities sitting down or more active gardening)

If this sounds right for you then please fill in our referral form below. Once you have filled in the form we will contact you for a chat about joining Growing Forward.

Self referral Form

I give permission for Growing Forward to use the information I provide in this form to contact me about participating in Growing Forward sessions..

My details

Name

Date of birth

Contact number

E-mail address

Address

Emergency contact details (please give two names if possible)

Contact 1 name & relationship

Contact 1 number

Contact 2 name & relationship

Contact 2 number

Participation in Growing Forward

If you need more information about the group sessions and one-to-one sessions, please let us know. You may wish to choose the group gardening sessions, one-to-one counselling or both.

I am interested in Growing Forward’s small group gardening activities

I am interested in using Growing Forward’s one-to-one counselling / listening service

Support worker / key worker details

If you have a key worker or support worker, please provide their details here:

Name of worker

Job title

Organisation

Address

GP details

GP name

GP contact details

Health information

Please tell us about any health conditions you have and any regular medication you take:

Please tell us about any allergies you have. Do you have an EpiPen? If you have no allergies, please type 'None'

Do you feel that any of the above could affect your participation at Growing Forward?

If the answer to the above was yes, briefly describe what these difficulties might be. This will help us know the best way to help if there are any problems.

Interests / skills

Please tell us about any gardening experience or other interests and skills you have. For example customer service, IT/computers, sales or construction. Please include hobbies & interests.

Would you be able to make a contribution to your counselling sessions? Please choose an amount per session. There is no obligation to pay.

If you are human, leave this field blank.