Getting Support at The ClementJames Centre

This is an enquiry form for getting support at The ClementJames Centre.

If you work for an organisation looking to refer a client for support at The ClementJames Centre, please click here.

Important updates to our Advice, Employment and Numeracy & Literacy services:

The Advice and Employment services at ClementJames are currently unable to take any new referrals and we will reassess the situation in the New Year. Due to high demand, we are also no longer taking any new referrals for the Numeracy & Literacy service for the remainder of the 2024/25 academic year. We apologise for any inconvenience caused.

The below form can therefore only process enquiries for Wellbeing Support. We are also still taking enquiries for Early Intervention Support here.

Please use this resource to find alternative support for any Advice issue, e.g. Benefits, Housing or Debt support. Alternative Employment support can be found here, depending on which borough you live in: Kensington & Chelsea, Westminster or Hammersmith & Fulham. For other learning centres and tuition services available in RBKC, please see here.

Have you registered with The ClementJames Centre already?

Yes, I have completed an online registration form. Great! Click here to book an assessment.

No, I need to complete an online registration form. Please click "Next Page" below to complete the form.

Thank you for taking the time to fill out this referral form. If you need support filling out this form, or receive an error message that does not allow you to submit, please contact reception@clementjames.org or give us a call on 020 7221 8810.

Privacy Notice

At The ClementJames Centre, we’re committed to protecting and respecting your privacy.

Please see our privacy notice attached here, and tick here when you have read and agree to the terms laid out in it.

Who We Can Support

If you do not fit our criteria but would like our help to find an organisation who can support you, please contact reception@clementjames.org or give us a call on 020 7221 8810.

Please select the borough you are a resident of housed in:

We also have criteria that clients need to meet to access support. At least one of the following means that you are able to access support at the Centre.

Please select any of the following that apply to you:

Receiving benefits

Have a household income of less than £25,000

Living in social housing (this includes council, temporary accommodation and housing associations)

Child/ward receiving free school meals

Your Details

Title

First Name

Last Name

Date of Birth (dd/mm/yyyy)

Gender

Self-described gender:

Ethnicity

Other or self-described ethnicity:

Contact Number

House Number & Street Name

Post Code

How did you hear about The ClementJames Centre?

Please tick here if you would like to be subscribed to our mailing list to hear about upcoming workshops, programmes, events and opportunities at The ClementJames Centre.

There are times when photographs of activities are taken for publicity and marketing purposes. This is really helpful for us to be able to show what we are doing in the community. Please tick here if you agree for your image to be used in this way.

Getting Support

If you cannot find the support that you are looking for but would like our help to find an organisation who can support you, please contact reception@clementjames.org or give us a call on 020 7221 8810. Please note that our Advice and Employment services are currently unable to take any new referrals - more information in the message above.

What is the main type of support that you would like to receive at ClementJames?

Please tell us, in as much detail as possible, what you would like support with:

Your Emergency Contact's Details

In the event of an emergency, it is really helpful for us to have someone we can contact for you. This could be a partner, relative, friend or your GP surgery, for example.

Emergency Contact Full Name

Emergency Contact Number

Your Language and Communication Needs

We ask the following questions in order to provide the best support for you throughout your time at The ClementJames Centre.

Do you have any learning or physical accessibility needs that we should know about?

Please provide us with more details:

Do you have any communication or language needs that we should know about?

Please provide us with more details:

We offer English classes for Adults. Would you like to find out more about how we can support with this?

Please tick here if you need assistance to exit the building in the event of an emergency evacuation. Staff will prepare a Personal Emergency Evacuation Plan (PEEP) for you.

Submit Your Form

Please submit the form below. You will then be taken to our website to book a triage meeting with a member of the team. In this meeting, you will be able to discuss your enquiry further and get triaged to the Wellbeing Team.

Contact Information