Day Services Interest Form

Thank you for your interest in becoming a day service member at Homefield.

Please fill in this form as fully as possible. You can ask someone to help you with your answers.

We use this information to see if we can meet your needs at our Day Service provision. This information also helps our staff if you come for a tour, so that we can talk to you about the support suitable and activities to your needs.

Please note: This form is for a Homefield day service place for adults aged 16+ who have learning and / or communication disabilities. If you are interested in our education provision, please follow their admissions process.

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Privacy Statement

Your privacy is important to us. The information you tell us is private and stored on our student database. You can ask for a copy of the information we have about you at any time.

You can look at Key Documents to read the full statements. These policies tell you what we do with your information, how we store it, and how to ask for copies of your data.

Alternative Formats

If you prefer to complete a paper copy, please download our Word document version of this form and return by email to or by post to Homefield College, 217 Loughborough Road, Mountsorrel, Leicestershire, LE12 7AR.