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Shared Lives Register your interest
Name
First
Last
Postcode
Telephone
Email
What type of placements are you interested in?
Long term placements
Short term breaks
No preference
Which group of people do you want to support?
People with a learning disability
People with physical disabilities
People with mental health issues
Older people
No preference
Where did you hear about Shared Lives?
Where did you hear about Shared Lives?
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Word of mouth
Recommended by a Shared Lives Carer
Social media
North Tyneside Council website
Council marketing – posters, website, newsletters
Other…
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