find support

find support

Join Equal Care Co-op to build a team to support you or someone you're wanting to find support for in the Calderdale area.
I'm looking for... *

Support for myself Support for someone else
Your Name *

First Name Last Name
Your preferred name *
How should we call you?
Email *
example@example.com
Phone number
The best number to catch you on.
What's your full address? *
Their Name *

First Name Last Name
Their preferred name *
How would they like us to call them?
Where do they live? *
Will the support happen entirely or mostly at this address?

Yes No
Where will the support take place? *
And which areas of support are you looking for a hand with?

Help to manage household tasks Mindfulness and wellbeing Creative and personal expression Mobility, getting around, getting out and about Dealing with the care and support system Community connection and activities Peer support (from someone who's experienced similar challenges) Help using technology (e.g. messages and keeping in touch) Care and support co-ordination and/or life admin Personal care with dignity Clinical / medical tasks Listening, feeling heard Friendship and social life
Please tell us whatever you would like to share about your situation and circumstances (please include any accessibility needs you have that we should be aware of when we get in touch).
Please can you share rough details of when you are looking for support and how many hours. We'll ask you for more information later when we meet so no need for an essay :-)
We can contact you using email, text, messaging apps and phonecall. Please can you let us know your favourite way to get in touch with you.
And finally, we need your consent to contact you and confirmation of understanding. *

I am 18 years old or above and I give my consent for you to get in touch with me for the purpose of getting paid and/or voluntary care and support through Equal Care Co-op for myself or someone else.
Reply Email for facilitators
example@example.com
Should be Empty: