Joining Re-engage

Referral partner

Use this short form to apply for yourself or make a referral to join Re-engage.

Are you applying for yourself or referring someone else?*

What are you interested in joining? – you can choose one from each list.

List A*
List B*

Please ensure you have selected at least one service.

HideActivityGroups

In person activity groups are currently available in Wales, West Yorkshire, Birmingham, Greater Manchester, London, the Scottish Borders and Bristol & South West. If you live outside these areas, unfortunately you cannot apply for activity groups at the moment.

Online activity groups are funded in West Yorkshire and Birmingham. If you live outside these areas, unfortunately you can't apply for online activity groups at the moment. 

Flicks and friends is only available in Crosby and the surrounding areas. If you live outside this area, unfortunately you cannot apply for flicks and friends at the moment.

Lunch clubs are only currently available in Crosby and the surrounding areas. If you live outside this area, unfortunately you cannot apply for lunch clubs at the moment.

Tea party questions

Tea parties are suitable for guests who can:

  • get in and out of a car with a helping hand
  • climb a few steps into a host’s home with a helping hand
  • manage their own personal needs such as using the bathroom without assistance
Are tea parties suitable for you?*

Please check our website for other services that may be suitable.

Do you use any walking aids?*

Our volunteer drivers pick up and drop off two older guests each month, so although they will do their best to accommodate walking aids, these must be small enough to fit into a car.

Please click "next" to continue with the:

  • call companion questions
  • rainbow call companion questions
  • activity groups – face to face questions
  • activity groups – online questions
  • flicks and friends questions
  • lunch clubs questions

Call companions

Call companions are suitable for people who:

  • can communicate on the telephone
  • speak and understand English
  • have a landline or good mobile phone signal
Are call companions suitable for you?*

Please check our website for other services that may be suitable.

Please click "next" to continue with the:

  • rainbow call companion questions
  • activity groups – face to face questions
  • activity groups – online questions
  • flicks and friends questions
  • lunch clubs questions

Rainbow call companions

Rainbow call companions are suitable for people who:

  • identify as lesbian, gay, bisexual, trans or any other minority sexual orientation or gender identity (LGBT+)
  • can communicate on the telephone
  • can speak and understand English
  • have a landline or good mobile signal
Is rainbow call companions suitable for you?*

Please check our website for other services that may be suitable.

Please click "next" to continue with the:

  • activity groups – face to face questions
  • activity groups – online questions
  • flicks and friends questions
  • lunch clubs questions

Activity groups – face to face

Face to face activity groups are suitable for people who are:

  • aged 75 and over
  • able to take part in gentle exercise
Do you want to attend face to face activity groups in*
Are face to face activity groups suitable for you?*

Please check our website for other services that may be suitable.

Please click "next" to continue with the:

  • activity groups – online questions
  • flicks and friends questions
  • lunch clubs questions

Activity groups – online

Online activity groups are suitable for people who are:

  • aged 75 and over
  • able to take part in gentle exercise
  • able to access the internet to join the online classes
Do you want to attend online activity groups in*
Are online activity groups suitable for you?*

Please check our website for other services that may be suitable.

Please click "next" to continue with the:

  • flicks and friends questions
  • lunch clubs questions

Flicks and friends

Flicks and friends is suitable for people who:

  • are aged 60+
  • live in the Crosby area
Is flicks and friends suitable for you?*

Please check our website for other services that may be suitable.

Please click "next" to continue with the:

  • lunch clubs questions

Lunch clubs

Lunch clubs are suitable for people who:

  • are aged 60+
  • live in the Crosby area
  • can get in and out of a car with a helping hand
  • can climb a few steps into the venue with a helping hand
  • can manage their own personal needs such as using the bathroom without assistance
Are lunch clubs suitable for you?*

Please check our website for other services that may be suitable.

Thank you for your interest in Re-engage’s lunch club.  

As soon as we’ve found a place for you, we’ll give you a call to let you know where and when the next lunch club is and how you can join.


About you

Are you aged:

In most cases, our services are for people aged 75 and over.

Date of birth*
Your address:*
What is your tenure type?
Where do you live?
Which borough do you live in?
Do you live alone?
I confirm that the above details are correct to the best of my knowledge*

Monitoring

Re-engage collects the following information solely for monitoring and evaluation purposes to ensure that we are fair, clear, and effective.

The following question is about your gender identity. What best describes your gender?
What is your sex?*
Is your gender the same as the sex registered at birth?*
If your gender is not the same as the sex registered at birth, what best describes your gender?*
This question is about your sexual orientation. Do you identify as:*

The Equality Act 2010 defines a person with disability as someone who has a physical or mental impairment that has a substantial and long-term adverse effect on their ability to perform normal day to day activities.

Do you consider yourself to have a disability?*

Emergency contact details

In the unlikely event that you have an accident or become unwell, please provide us with the details of someone we can contact in an emergency.

How did you hear about us?

How did you hear about us?*
I would like to join the Re-engage mailing list for monthly updates on the charity and the issues it addresses.*

Thank you for applying to be part of Re-engage

By submitting this form, you are confirming that:

  • the information that you have provided is accurate
  • you give us permission to hold your details within our secure Re-engage database and in accordance with our privacy policy
I confirm the statements above*

Thank you for referring an older person to Re-engage’s services

We want to be sure that Re-engage is right for them so please work with them to answer the following questions:

What is the older person interested in joining? – you can choose one service from each list.

List A:*
List B:*

Please ensure you have selected at least one service.

In person activity groups are currently available in Wales, West Yorkshire, Birmingham, Greater Manchester, London, the Scottish Borders and Bristol & South West. 

Online activity groups are funded in West Yorkshire and Birmingham. 

Flicks and friends is only currently available in Crosby and the surrounding areas.

Lunch clubs are only currently available in Crosby and the surrounding areas.

Tea party older person questions

Tea parties are suitable for guests who can:

  • get in and out of a car with a helping hand
  • climb a few steps into a host’s home with a helping hand
  • manage their own personal needs such as using the bathroom without assistance
Are tea parties suitable for the older person?*

Please check our website for other services that may be suitable.

Do they use any walking aids?*

Our volunteer drivers pick up and drop off two older guests each month, so although they will do their best to accommodate walking aids, these must be small enough to fit into a car.

Please click "next" to continue with the:

  • call companion questions
  • rainbow call companion questions
  • activity groups – face to face questions
  • activity groups – online questions
  • flicks and friends questions
  • lunch clubs questions

Call companion older person questions

Call companions are suitable for people who:

  • can communicate on the telephone
  • speak and understand English
  • have a landline or good mobile signal
Is call companions suitable for the older person?*

Please check our website for other services that may be suitable.

Please click "next" to continue with the:

  • rainbow call companion questions
  • activity groups – face to face questions
  • activity groups – online questions
  • flicks and friends questions
  • lunch clubs questions

Rainbow call companion older person questions

Rainbow call companions are suitable for people who:

  • identify as lesbian, gay, bisexual, trans or any other minority sexual orientation or gender identity (LGBT+)
  • can communicate on the telephone
  • speak and understand English
  • have a landline or good mobile signal
Is rainbow call companions suitable for the older person?*

Please check our website for other services that may be suitable.

Please click "next" to continue with the:

  • activity groups – face to face questions
  • activity groups – online questions
  • flicks and friends questions
  • lunch clubs questions

Activity groups – face to face older person questions

Face to face activity groups are suitable for guests who are:

  • aged 75 and over
  • able to take part in gentle exercise
Does the older person want to attend face to face activity groups in*
Are face to face activity groups suitable for the older person?*

Please check our website for other services that may be suitable.

Please click "next" to continue with the:

  • activity groups – online questions
  • flicks and friends questions
  • lunch clubs questions

Activity groups – online older person questions

Online activity groups are suitable for guests who are:

  • aged 75 and over
  • able to take part in gentle exercise
  • able to access the internet to join the online classes
Does the older person want to attend online activity groups in*
Are online activity groups suitable for the older person?*

Please check our website for other services that may be suitable.

Please click "next" to continue with the:

  • flicks and friends questions
  • lunch clubs questions

Flicks and friends older person questions

Flicks and friends is suitable for people who:

  • are aged 60+
  • live in the Crosby area


Is flicks and friends suitable for the older person?*

Please check our website for other services that may be suitable.

Please click "next" to continue with the:

  • lunch clubs questions

Lunch clubs older person questions

Lunch clubs are suitable for people who:

  • are aged 60+
  • live in the Crosby area
  • can get in and out of a car with a helping hand
  • can climb a few steps into the venue with a helping hand
  • can manage their own personal needs such as using the bathroom without assistance


Are lunch clubs suitable for the older person?*

Please check our website for other services that may be suitable.

Thank you for referring an older person into Re-engage’s lunch club.  

As soon as we’ve found a place for them, we’ll contact the older person to let them know where and when the next lunch club is and how they can join.


About the older person

Are they aged:

In most cases, our services are for people aged 75 and over.

What is their date of birth*
Their address:*
What is their tenure type?
Where do they live?
Which borough do they live in?
Do they live alone?
I confirm that the above details are correct to the best of my knowledge*

Professional referrers only

What sector do you work in?*
Organisation address:*
Are you one of our housing referrals partners? *
Please choose your organisation from the list below:
I would like to join the Re-engage mailing list for monthly updates on all the work of the charity and the issues it addresses

By submitting this form, you are confirming that:

  • you have the permission of the older person to refer them to this service
  • the information that you have provided is accurate
  • you give us permission to hold your details within our secure Re-engage database and in accordance with our privacy policy

Friends and family referrals only – about you

How do you know the older person?*
How did you hear about us*
I would like to join the Re-engage mailing list for monthly updates on the charity and the issues it addresses*

Thank you for making a referral to a Re-engage service.

By submitting this form, you are confirming that:

  • you have the permission of the older person to refer them to this service
  • the information that you have provided is accurate
  • you have explained to the person you are referring that their details will be held within our secure Re-engage database and in accordance with our privacy policy.

Thank you for your interest in Re-engage's services

Thank you very much for recently applying to Re-engage.

I’m so sorry, but none of the services you applied for are a good fit for you currently, but may be in the future.

Please do refer to our website for information on all our services and to read our Frequently Asked Questions, or you can call us on 0800 716 543. Our team will be happy to answer any questions you may have.

With best wishes from the team at Re-engage.

Thank you for your interest in Re-engage's services

Thank you very much for referring an older person to Re-engage.

I’m so sorry, but none of the services you applied for are a good fit for them currently, but they may be in the future.

Please do visit our website for information on our services and to read our Frequently Asked Questions or you can call us on 020 7240 0630, our team will be happy to answer any questions you may have.

With best wishes from the team at Re-engage.

Thank you for your interest in referring someone to Re-engage

Thank you very much for referring an older person to Re-engage.

I’m so sorry, but none of the services you applied for are a good fit for them currently.

Whilst there may not be a suitable service for them now, you may know other older people who we could support.

Please do visit our website for information on our services and to read our Frequently Asked Questions, or you can call us on 020 7240 0630. Our team will be happy to answer any questions you may have.

With best wishes from the team at Re-engage.

Thank you for your interest in Re-engage's services

Thanks for your interest in Re-engage. We support people aged 75 and older, so we’re not quite right for you at this time.    

Please take a look at our signposting page for other organisations who may be able to help.  

Thank you for your interest in referring someone to Re-engage

Thanks for your interest in Re-engage. Our services are for people aged 75 and older. Unfortunately, the person you’ve referred doesn’t meet our criteria. 

 Please take a look at our signposting page for other organisations who may be able to help. 

Thank you for your interest in referring someone to Re-engage

Thanks for your interest in Re-engage. Our services are for people aged 75 and older. Unfortunately, the person you’ve referred doesn’t meet our criteria. 

 Please take a look at our signposting page for other organisations who may be able to help. 

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