Make contact with our Link Up Hub team

Please complete the form below to make contact with our Link Up team.

Participating will not affect any benefits you may be entitled to.

Personal details

Full name

Preferred name

Date of birth

Gender

Gender pronouns

If you have any disabilities you would like to tell us about, please add them below.

Contact details

Phone number

Email address

Postcode

Preferred contact

Other details

Are you currently claiming Universal Credit?

Are you currently employed?

Are you currently in education?

Declaration

Declaration text

Link Up Hub (supported by the Flexible Support Fund) through Department of Work and Pensions may need to share your details with DWP in order to monitor and evaluate the effectiveness of the funding.

Any details you provide may be shared with DWP but will never be published or shared with outside parties. The DWP will comply with the Data Protection Act 1998. These records will last no longer than 2 years. Your name, DOB, national insurance number, gender and post code may be shared.

If you are in receipt of benefits participation of activity through Link Up Hub will not impact your entitlement.

I understand the above declaration and agree to the terms.

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