Join the Community of Carers  

If you are a professional referring a carer please use one of our referral forms. 

Carers Form  

Joining the community gives you access to a range of support and you’ll receive our monthly carers email newsletter. Once you’ve completed this form we’ll add you to our database and send you a Welcome Pack with information about our support services, and a Carer Card for you to access discounts across the city.  

We need to collect some basic information about yourself and the person you care for to make sure you’re eligible to access our services and that we’re offering you the right support.  

We will process and record the personal data you supply on this form in accordance with our privacy notice

If you need any help completing this form please contact or call 0114 278 8942.  

    SECTION 1: ABOUT YOU: These first set of questions are about you as the carer (the person offering support to a family member or friend).

    We provide a range of activities & workshops that you may sign up to attend in the future, if you have any support needs please let us know.

    SECTION 2: EQUALITIES MONITORING. The Carers Centre is committed to equality of opportunity for everyone. By providing answers to these next questions you help us ensure that we make our services as accessible as possible. These questions are optional and your answers will be used for equal opportunities monitoring purposes only.

    SECTION 3: ABOUT YOUR CARING ROLE: These questions are about your caring role and the person(s) that you look after who has care and support needs. It’s important we know a little about the person(s) you help so we can understand how best to support you in your role caring for them.

    If you are a carer for more than one person please complete and send this form - then complete another form for the second person. If you are a carer for more than two people please call us on 0114 278 8942.

    Updated 16 June 2022