For support workers Space2 Partnership Agreement for Support Workers Name of Support Worker(Required)Phone Number(Required)Email address(Required) Name of secondary contact (your line manager, or the regular caregiver of person being supported)(Required)Secondary Contact Phone Number(Required)Secondary Contact Email Address(Required) Are you the participant’s only support worker?(Required) Yes No Please name their other support workers & their working daysName of Space2 participant being supported(Required)Support needs we should be aware ofLevel of support you will provide during sessions 1-to-1 supervision and guidance throughout group activities 1-to-1 supervision throughout group activities Other, please state below Other level of support detailsSpace2 will... Provide a free group activity for the participant Be attentive to the needs of the group as a whole Plan sessions in a way which is inclusive, and sensitive to the needs of all group participants Respond to any concerns the support worker may have about the sessions The support worker will... Complete this form prior to the participant engaging in group activity Introduce themselves to the facilitator when arriving at the first session and state their role as support worker/personal assistant/etc. Attend to the needs of the participant through 1-to-1 supervision and guidance during the group activity Make Space2 aware of any further support needs the participant may have Be the primary responsible person for the participant in the case of emergencies Inform Space2 if the participant is going to have a different worker supporting them Δ
