Point A Listing Registration Question Title * 1. Organisation Name Question Title * 2. What geographical area does the organisation cover? Question Title * 3. Please give a short description of the organisation's aims and what it does. If you are happy for us to take this information from your website please share the relevant web page. Question Title * 4. What services do you currently offer, that would be useful and accessible to adults who identify as neurodivergent, autistic or with a learning disability? Question Title * 5. Where in Northumberland can you meet people who may be referred? Question Title * 6. Please give the contact details of the best person to talk to discuss making a referral Name Address Address 2 City/Town ZIP/Postal Code Email Address Phone Number Question Title * 7. What is the process for referring someone to your services? Question Title * 8. What could someone expect will happen next, once they have been referred? Question Title * 9. If possible, please share any positive recommendations you may have had from satisfied users of your services Question Title * 10. Are you happy to share your logo and some images to display? If so please email them to splintergroupnorth@gmail.com Yes No Done
