Application for inclusion

Please note: Completion of this application does not mean automatic inclusion of your Organisation / Support Group in the GriefLink Website. All inclusions on the website are at the discretion of the Management Committee which meets periodically to review requests against specific criteria.

1. Organisation Information
Organisation / Support Group name *
Contact person (to whom correspondence should be addressed) *
Position of contact (i.e. President, Secretary) *
Organisation / Support Group physical address *
Mailing address (if different to above)*
Phone *
Email *
* Completion of these fields is mandatory.  
2. Please add information relating to your Organisation / Support Group which you would like listed on the website
Is your Organisation / Support Group a not-for-profit organisation?
Does your organisation/support group have a website?
If YES, what is the internet address (URL)?
Does your organisation/support group have written Aims and Objectives?
If YES, please upload examples here
Does your organisation/support group have promotional brochures?
If YES, please upload examples here
Please provide a brief description of the skills and experience required of the workers in your organisation/support group.
Please provide a brief description (less than 100 words) of the role of your organisation/support group which will appear on the website.
3. What services does your organisation provide in the area of loss and grief?
Individual counselling
Telephone counselling
Drop in centre
Support group meetings
Literature on grief e.g. brochures
Library facilities for loss & grief
Grief education classes
Sale of publications
   
Online resources
   
Other (please state)
Is there a cost associated with any of your services?
4. Please click the topic(s), which are most relevant to your organisation/support group (use your control/apple key and click to select as many items as you wish)
Grief with the loss of a relation / relationship
Grief associated with a cause of death
Grief reactions in persons, groups and cultures
It is extremely important that information placed on the GriefLink website is as accurate and as up to date as possible. Please notify us as soon as possible of any changes to your contact details or the services you offer, so we can amend the website information. You can do this via the "Contact Us" page