Skip to primary navigation
Skip to main content
Skip to primary sidebar

Into Work

We help employees with long-term conditions and disabilities find, build and maintain great jobs.

Home
About us
Jobseekers
Employers
Latest updates
Get involved
Show Search

Search this website

Online referral form

Anyone with a disability or long-term health condition can either refer themselves to Into Work – or give their consent to be referred by a third party – by using the form below. This form should be used by people who live in Edinburgh or Midlothian. There is a different process for East Lothian residents, please contact us for details.

1. Details of person seeking support
Name * REQUIRED
First Last
Address * REQUIRED
Street Address Address Line 2 City Postcode Country
Telephone
Email * REQUIRED
Date of Birth - must be dd/mm/yyyy format
DD slash MM slash YYYY
National Insurance Number
2. Disability or health condition
Please mark the relevant box(es)
- Acquired Brain Injury
- Learning Disability
- Mental Health Condition
- Visual Impairment
- Autistic Spectrum Condition
- Hearing Impairment
- Physical Disability
- Other long-term health condition
Please provide more information
3. Referral Details
Who are you being referred by?
- Yourself
- A family member or friend
- Another person or organisation
Contact person name
First Last
Contact person address
Street Address Address Line 2 City Postcode Country
Contact person telephone number
Into Work is part of All in Edinburgh (AiE). The other AiE partners are The Action Group, Forth Sector and ENABLE Scotland.
Have you referred to any of our partners recently?
- The Action Group
- Forth Sector
- ENABLE Scotland
Date referrred - must be dd/mm/yyyy format
DD slash MM slash YYYY
Date referred - must be dd/mm/yyyy format
DD slash MM slash YYYY
Date referred - must be dd/mm/yyyy format
DD slash MM slash YYYY
Are you currently receiving support from any other organisation to find work?
- Yes
- No
4. Referral Criteria
Do you meet the following eligibility criteria? * REQUIRED
- I am aged 16 or upwards
- I have a disability or health condition
- I am seeking employment in Edinburgh or Midlothian
- I am motivated to gain paid employment
- I live in Edinburgh or Midlothian
- I am able to self-travel or have my own travel arrangements
- I give my consent to the referral
- I meet all the above criteria
5. Paid employment
If a waiting list develops priority is given to those seeking employment of 16 hours or more per week, in line with the Scottish Government Framework for Supported Employment.
I am looking for paid employment of: * REQUIRED
- up to 4 hours per week
- up to 8 hours per week
- between 8 to 16 hours per week
- 16 hours or more per week
6. Benefits
Please tell us what benefits you receive
Would you like a benefit check or support with any benefit issues?
7. Disability or health condition information and employment goals
Please tell us about your disability or condition and how it affects you.
Please tell us about your employment goals.
Please tell us about any recent paid employment, work placement or volunteering.
How did you hear about Into Work?
Please tick as many as apply
- Online search
- Social media
- Word of mouth
- Event
- Other
Completed by
Date - must be dd/mm/yyyy format
DD slash MM slash YYYY
Your information * REQUIRED
By ticking this box I confirm that I am happy for Into Work to hold the information given in this form to provide me with an employability service. I understand that, should I not be accepted into the service, or decide not to use the service, this information will be deleted.
- I agree
Comments
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Δ

Into Work is funded to support disabled people find and keep employment. In Edinburgh, we work in partnership with other local charities as part of the All in Edinburgh project with funding from the City of Edinburgh Council and the European Social Fund. In Midlothian, funding comes from Midlothian Council. In East Lothian, we work in partnership with East Lothian Council’s East Lothian Works service.

Midlothian council

Primary Sidebar

Jobseekers

What we can do for you
Are our services right for you?
Your employment journey
What we expect from you
Welfare Rights Advice
Make a referral
Client stories

Into Work is a Company Limited by Guarantee (Registered in Scotland No. SC181737), and is a recognised Scottish Charity (Scottish Charity No. SC028327)

Registered Office: Norton Park, 57 Albion Road, Edinburgh, Scotland EH7 5QY

Into Work receives public funds through grants and contracts with additional support through the European Social Fund.

Copyright © 2022 Into Work · Site design and build by Form & Function · Powered by WordPress · Photography by Malcolm Cochrane Photography

Privacy
Sitemap
Accessibility