Make a referral

Are you ready to take the first step on your journey? Do you know a young person who could benefit from IAF's professional employability and wellbeing support? Reach out to IAF today to make a referral and our team will be in touch!

Contact details

First name

Last name

Date of birth*

Address*

Email*

Phone*

Completing on behalf of a young person?

If you are completing the referral form on behalf of the young person named above, either as a parent/guardian or key worker, please complete your contact details below:

Full name

Contact details

Relationship to named young person

Organisation name

How can we help?

I'm interested in the following programmes...

1-2-1 Mentoring

Prince's Trust Team programme

Our Space

i-Time

Progression Award (Bolsover area only)

My personal barriers are...*

Addiction

Finances/Debt

Housing

Previous convictions

Learning difficulties

Mental health

Physical health

Access to IT

Low level qualifications

Other

Are you being supported by any other services?

Accessibility requirements/Additional info

IAF are committed to ensuring our programmes are inclusive and accessible spaces for young people. If you have any known access requirements that would support you to get involved, we invite you to share these here.

Marketing and data consent

Where did you hear about IAF?

The Inspire and Achieve Foundation requires the above information to deliver our support services and ensure these reflect the needs of our young people. All data captured through this referral form will be held in line with IAF's GDPR policy and consent may be withdrawn at any time.

I consent to my details being processed, stored and used for the purpose of discussing suitability for, and delivery of, IAF support services.

If you would like to opt in IAF's monthly newsletter to learn more about upcoming opportunities and events, please tick this box.

39D Stockwell Gate, Mansfield, NG18 1LA.

info@inspireachieve.co.uk

GOVERNANCE | CAREERS | SAFEGUARDING

PRIVACY & DATA | Charity no. 1129402

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