Bristol Homeless Connect Website - Service Details
This form will be used to collect and update information for the new Bristol Homeless Connect Website, as well as the updated version of the Survival Handbook.

Please enter your email address you we can contact you about this information if needed.

This form is designed to update your organisation's specific ***Service Details***

Please use the form once per service

If you wish to update information about your organisation then please use our ***Organisation Details*** form

Email address *
General Name of Organisation or Group *
This must match your Organisation Name in the ***Organisation Details*** form
Your answer
Service Name *
Please provide a name for your service. This can be descriptive, for example Night Shelter or Weekly Drop in Group
Your answer
Service Category *
This will determine the category your service sits in on the website
Short Description *
Please provide a short description of the service you offer. for example "This night shelter provides emergency accommodation for 18 single homeless people aged 18 and over"
Your answer
Referral only?
If you select "Yes" we will direct the user to a page explaining the referral process
Access *
Provide written instructions on where or how can people access this service? If applicable please provide an address or specify details of how to access. For example "Via Car Park at 121 Wilder St. Bristol BS2 8SJ - Please queue from 9.30pm" or "Call us for an assessment"
Your answer
Find Us
Please provide a street address or postcode where users can go to access the service - This information is optional and can be different from your organisation's address
Your answer
Is the service accessable to those with dogs?
Is the service for women only?
Contact number
This can be for this service only or may be a general contact number is applicable - This information is optional
Your answer
Contact email
This can be for this service only or may be a general contact number is applicable - This information is optional
Your answer
Website
This can be for this service only or may be a general contact number is applicable - This information is optional
Your answer
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