HS-Basingstoke & Deane

Family Referral Form

Please complete the form below to create a referral.

Home-Start Basingstoke and Deane’s charitable funding means we can only accept referrals where there is a child 5 years or under, and the family lives in the Basingstoke and Dean borough.

Does the family being referred have at least one child 5 years or under or expecting a baby?
Does the family being referred live in the Basingstoke and Deane Borough? For example, do they pay council tax or have their bins collected by the borough?

If you require support for a family with older children please visit the Family and Information Support Hub.

To find Home-Start services in your area please visit our national website.

By continuing with this application, you consent to the collection and processing of your personal data in accordance with our privacy policy. Read our full privacy policy here.

Home-Start Basingstoke and Deane - connecting you to your local community