PROPER JOB Referral Form

PROPER JOB delivers ideal outcomes for adults with learning disabilities and/or Autism into employment.

Please complete the online form below if you wish to make a referral.

Who is completing the referral

Who is completing this referral? (You must tick one of these options) *

I am referring myself

Referral on behalf of someone else with their permission

Person being referred

The person being referred has: *

a learning disability and/or

autism

Name *

Date of birth *

Telephone number *

Email address *

Address *

Postcode *

Privacy statement

The information you provide on this form will be held by PROPER JOB and used by us to process your referral. Your information will not be used for any other purpose and will not be passed onto any other third party without your permission. The information you provide on this form will be kept for 3 years after the date that you finish working for us. All personal information held by PROPER JOB is held safely in a secure environment.

View our privacy notice - easy read

Need help?

Most issues can be resolved online, it's the quickest and most convenient way to get help.

PROPER JOB team
properjob@cornwall.gov.uk