Referring Others

Referral Agency *

Referrer's Name *

Referrer's Email Address *

Client's Full Name *

Client's Telephone Number *

Street Address *

Apartment, suite, etc

City

Country

Postal Code

Client's Email Address

How many adults (18 or over) in the household? *

How many children (under 18) in the household? *

Is the client or anyone in the household currently employed? *

Current or Previous OccupationFor statistical analysis please provide the person’s current occupation, or if they are currently unemployed, their occupation when they last worked.

Housing Situation *

If you ticked Other above, please give a description here

Please tick to confirm that the person being referred has given their permmision for this form to be sent and for their data to be used by Crediton Foodbank. Data from the referral will be kept on a secure database, used for monitoring purposes and for statistical analysis for which data is anonymized. Your data is not used for any other purposes and is only seen by people that need to for foodbank reasons. Details are never sold or given to any other body. Under data protection legislation the foodbank has to have lawful grounds to hold your data, and this comes under ‘legitimate interest’. i.e. it is reasonable (‘legitimate’) that the foodbank use data in the way described if it is to operate as people would expect. To know more about why we keep your data, what we use it for, how we keep it safe and your rights please speak to the Foodbank Coordinator *I agree

Energy Clinics offered at the Crediton Foodbank the 1st Tuesday of each month, from 10am to 12pm. Please contact us to make an appointment.

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Contact

07740202721
[email protected]

Address

The Manse, Crediton Congregational Church
98 High St,
Crediton
EX17 3LB

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Crediton Foodbank Registered Charity No: 1195132