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Youth Unity Referral Form

Please specify the area or organisation you are submitting this referral from


Youth Unity offers a tailored mentoring service for young people who may benefit from additional support, guidance, and positive role models. Our mentors work 1:1 with young people to build trust, improve confidence, set personal goals, and provide a safe space to talk. We support young people facing challenges around education, wellbeing, relationships, or community engagement.

 

Please complete the referral form below with as much detail as possible so we can match the young person with the most suitable mentor.

Please select the London borough the young person resides in?

Referral Information

Identity

Young Person Details

Address of Young Person

Contact Details

Parent / Carer Details

Please add contact details for parent/career if under 18

Concerns

What Support can Youth Unity Provide

Offending History & Current Status

CONSENT TO SHARE INFORMATION

Agencies who are making enquiries and/ or making referrals about child/ren should inform the parents/ carers or those with parental responsibility that they are making a referral to Children Services, unless to do so would mean that the child or young person was at greater risk.

INTERNAL USE ONLY