Your Name Your Subject Date of Birth Current Address Contact Number Your e-mail Reason for needing accommodation at Hope House Nature of your addiction (please give details) This form can be used by individuals to self-refer and by a Professional to refer someone We aim to respond within two working days; please note we are closed weekends/bank holidays Please note that St Albans Action for Homeless does not offer an emergency or crisis service We will always store your personal details securely. Weβll use them to provide the service that you have requested and communicate with you in the way(s) that you have agreed to. Your data may also be used for analysis purposes, to help us provide the best service possible. Your Data (Required) I (the client) give consent for my personal data to be handled by St Albans Action for Homeless as explained in the Privacy Policy.
