Teg Referral Partnership Form

The men’s group provides early-intervention support focused on financial hardship, digital inclusion, mental wellbeing, and social wellbeing.

Partner organisations can refer their service users to attend sessions at our venue. Once a partnership request is approved, service users can come to our venue for support from the men’s group.

Provide in-person support at our venue for digital access and inclusion
Support people experiencing financial hardship
Offer wellbeing check-ins and follow-up coordination
Provide safe signposting where additional support is needed

Support from the men’s group can be delivered during:

Drop-ins and community groups held at our venue
Partner-led activities hosted at our venue

The partnership does not replace your organisation’s safeguarding or support responsibilities. Instead, it gives your team access to a trained support worker who can help during critical moments.

Submitting this form begins the partnership process. If approved, the team will arrange an onboarding call with your lead contact to confirm:

how the men’s group works
how support is requested
how to arrange a support worker
session scheduling
safeguarding and privacy expectations

Notice: This form is for organisations to request a partnership with the men’s group and refer people for support. Do not include information about individuals in this form. If a partnership is agreed, the men’s group will explain the appropriate referral process separately. Do not use that process for an emergency or immediate risk.

I understand that this form is only a partnership request and must not be used to send information about an individual or to request emergency help.

Organisation Name

Organisation Type

Sector / Area of Work

Organisation Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Organisation Website (if applicable)

Organisation Email (e.g., info@... or referrals@...)

example@example.com

Organisation Phone Number (main line or switchboard)

Please enter a valid phone number.Format: (000) 000-0000.

Contact person's name

First NameLast Name

Job title or role

Contact email

example@example.com

Contact phone number

Please enter a valid phone number.Format: (000) 000-0000.

Preferred way to contact you

Briefly describe why your organisation is interested in partnering with TEG and how it could support financial hardship, digital inclusion, mental wellbeing, and social wellbeing.

Helper: Please do not include personal or sensitive information about any individual in this form. This section is for organisational context only.

Approximately how many people might you refer to TEG in a typical month?

What makes you interested in partnering with the men’s group, and what would help the partnership work well?

I confirm that I am authorised to submit this partnership request on behalf of the organisation named in this form.

I confirm that the information I have provided about our organisation is accurate to the best of my knowledge.

I understand that submitting this request does not establish a partnership, guarantee approval, or guarantee that TEG will accept any future referral.

I will not enter or send personal, confidential, or sensitive information about a person who may need support through this partnership request form.

Before making any referral, our organisation will explain the referral to the person, check that they want to be referred, and follow applicable law and our own policies.

Our organisation is responsible for ensuring it has an appropriate lawful basis and any required permissions to share information in a referral.

Our organisation will use only a TEG-approved referral route and will not send personal information through ordinary email or this partnership request form.

Our organisation will follow its own safeguarding, confidentiality, data-protection and information-security policies when discussing or making referrals.

I have read the men’s group privacy notice: tegcic.org.uk .

TEG: Partnership Request

Before you complete the form, learn about the men’s group and the support it offers

Start of Form

Men’s Group Support

Partner declaration