Guidelines for referring organisation for completing the companion Application Form

We would ask you to complete this application form with the potential companion (applicant). Please ensure that they have signed the declaration consenting to your providing us with the information.

The purpose of the form is for all of us involved to make as thorough an assessment as possible of the needs of the applicant and whether there will be sufficient support available at Emmaus Glasgow to meet them.

Emmaus Glasgow does not receive Supported People funding and does not have a large team of staff to meet complex needs.

Notes to each section

1.Housing / Homelessness history

We ask that companions stay for at least three months and there is no upper limit of length of stay.

2.Physical and mental health issues

As detailed as possible, including current treatment/medication.

3.Offending / Violence

Details of any convictions and whether the applicant is on any register. This should also include any violent behaviour that has not led to a conviction.

4.Drug use/history

Please note that current use does not automatically prevent someone from entering the community. Depending on the type of usage, some applicants may be encouraged to seek specialist help before joining.

5.Alcohol use/history

Please note that current use does not automatically prevent someone from entering the community. Depending on the type of usage some applicants may be encouraged to seek specialist help before joining. 

6.Needs assessment

What existing support would you be continuing to offer the potential companion? What other support would s/he continue to access? Please give details. 

7.Skills, qualifications, experience & interests

Drivers with clean licences, woodworking skills, electricians, plumbers etc are particularly welcome. Vital though is the willingness to ‘muck in’ and support the community to the best of their ability. Also important are the hobbies and interests of the applicant.