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Please enter all the relevant details for your service as comprehensively as possible. The more a person knows about what it is you do, the better they will be able to make informed choices about the right sources of help for their need. (Please note, however, that in the case of inclusion in a potential 4th Edition paper copy of the Guide, this information may be abbreviated according to the requirements of space.)
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| Your Name |
 This is your own name, that of the person submitting the request. |
| Your E-mail |
Please enter your e-mail address here so that we may contact you if we have any further questions and/or to confirm whether or not your organisation will be listed. |
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| Name |
The name of the organisation or project whose details you are requesting be added to the online database. |
| Description of Service |
Please describe the service that your organisation offers in sufficient detail to be clear to people unfamiliar with what you do. |
| Umbrella Organisation |
If your organisation or project exists as part of a wider organisation, please enter its name here. |
| Area Serviced |
Perhaps your organisation
services only parts of the city, or wider areas, e.g. 'citywide' or 'national'. |
| Primary Contact |
If a specific person is
designated as the primary contact for your service, please enter their name here. |
| Job Title |
This is the formal job
title for the primary contact named in the previous field. |
| Address |
The 'office' address of your organisation; not necessarily where the service is delivered. |
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| Town/City |
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| Postcode |
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| Telephone 1 |
The primary contact phone
number for users of the service. Please add any explanatory text - e.g. (helpline) or (office). |
| Telephone 2 |
If you have a second
alternative number, please include it here. |
| Fax |
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| Minicom |
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| Email |
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| Website |
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| Opening Times |
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| Who is it for? |
Briefly describe the client group the service is aimed at. Include such things as age or gender limitations, etc. |
| Languages |
Can users engage with
your service directly in languages other than English? Are interpreters available? |
| Accessibility |
What provision do you
offer for users who might require 'assisted' access to your service? |
| Childcare |
Does your service offer
any childcare/creche facilities? |
| Charges |
Please include details
of any sliding scales that might operate, etc. |
| How to apply |
Can a user of your
service self-refer? If not, who can make a referral on their behalf? Is a referral form required? |
| Buses |
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| Train |
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| Parking |
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