Register for a companion

Register for a companion

Register for a Companion

Complete and submit this form to request a Jems companion.
  • Section 1: Personal Details

  • Section 2: Contact Information

    Contact information for person Jems should liaise with during the placement process.
  • Section Three: Additional Information

  • What is your ideal start date and length of stay for your companion?
    Date Format: DD slash MM slash YYYY
  • What are the hours/days you would like a companion to help?
  • Do you need your companion to drive?
  • This field is for validation purposes and should be left unchanged.

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Role of a Jems companion

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