Young Person's Referral Form

Please note: Referrals to our mentoring programme are now OPEN for the term- Jan2026.

If you would like to make a referral for a young person there are a few points to consider:

1- Is the young person aged 8-18

2- Has the young person been struggling with isolation and loneliness, struggling with low confidence or self-esteem, is a young carer, experienced  Adverse Childhood Experiences, been struggling with the education system, been having challenges with home life, found social relationships difficult and are they having a hard time with their mental health.

3- Do they live in the London Borough of Southwark. (We are currently supporting young people in Southwark and will prioritise those who are in and around the SE5 area. Camberwell, Peckham, Walworth)

4- When submitting the referral form please be aware that we will need to have a conversation with the professional involved to gain some context which will help us assess if we are the right service for that young person.

5- Is this something the young person wants to engage with? Have you asked them?

6- Is this commitment something the family and young person can enage with at this time?

If so, please continue to the Young Person's referral form at the bottom of this page. Once submitted a member of our team will get in contact with you. Please remember that once a referral is made there will be an assessment period to decide if this programme is a suitable fit for all involved. This is based on the support needs, location, communication and commitment of those involved. Please be patient as we take the time to explore this with each family.