Dress for Success referral form
Need clothes for an interview or a job start? please fill in the form below and we will send your details to dress for success.
Personal details
Full Name
*
First name
Last name
Date of Birth
*
-
Day
-
Month
Year
Postcode
*
Contact details
Phone number
*
-
Area code
Phone number
Email address
*
example@example.com
Clothing details
Top size
*
Bottom
*
Shoe size
*
Height
*
Any clothing requirements:
Are there any particular requirements for the client's role/interview or personal preference? For example: only black clothing, no skirts, etc
Job application
Are you currently working?
*
Yes - Full time
Yes - Part time
Yes - Zero hour contract
No - Job seeker/unemployed
Position applied for
*
Type of position
*
Full time
Part time
Work placement
Volunteering
Training course
Other (specify in notes)
Employer name
*
Interview/start date
*
/
Month
/
Day
Year
Please provide this in the format dd/mm/yyyy.
Additional notes:
Anything about the position that doesn't fit into the above boxes.
Client consent
Do you have any special access requirements that we may need to accommodate for during the appointment or in the event of an emergency?
*
Yes
No
If yes, please detail:
Does you consent to their data being processed by Dress for Success Greater London Ltd, shared with the referring agency (Employment 4 ALL CIC) and Dress for Success, inc, and used anonymously for statistical, marketing and fundraising purposes, in accordance with the Data Protection Act 1998?
*
Yes
No
Appointments & comments
Appointment slots
*
Appointment type
*
First Dressing - The client requires a styling and interview preparation session
Second Dressing - The client has already received a job offer or confirmation of employment and wishes to receive a capsule wardrobe.
Career Development Day session You are referring the person to participate in a Career Development Day session following an email promoting such an event.
Any additional comments:
Submit
Should be Empty: