Referral Forms

At Youth Vision we believe that young people should be fully informed and involved in all decisions that affect them but we realise that filling out forms, or making initial contact can be scary, so we take referalls from supporting agencies but insist that young people’s wishes are paramount in this process.

Referral Pathway Steps

1. If the young person is interested in taking part in one of Youth Vision’s programmes: The referral form will be filled out by the young person (if a self-referral), a parent, a Guidance teacher, Welfare Officer, or by someone from a supporting agency. It is important that the young person is involved and agrees to the referral. The completed form is then emailed to info@youthvision.uk.
2. A one to one meeting will then be arranged with a member of Youth Vision staff and the young person to assess if the chosen programme is the appropriate project for the young person. If both parties are in agreement the young person would sign an agreed code of conduct form at this meeting.
3. A Medical and Consent form would then be filled out by young person’s parent or guardian.
4. The young person would then take part in the programme.

Referral Forms

Forest Skills

This form is a partnership agreement form that needs to be agreed and signed by referring agencies.

Partnership agreement (Word format)

This is the initial referral form to be filled in by referring agencies with consent by the young person.

Forest Skills Referral (Word format)

Back on Track

This form is a partnership agreement form that needs to be agreed and signed by referring agencies.

Partnership agreement (Word format)

This is the initial referral form to be filled in by referring agencies with consent by the young person.

Back on Track Referral (Word format)

Wilderness

This is the initial referral form to be filled in by referring agencies with consent by the young person.

WIlderness Referral (Word format)

This form is for young people to refer themselves.

Self-referral form (Word format)

Staying on Track

This is the initial referral form to be filled in by referring agencies with consent by the young person.

Staying on Track Referral (Word format)

This form is for young people to refer themselves.

Self-referral form (Word format)

Medical and Consent

This is the medical and consent form for all programmes.

Medical and Consent (Word format)

Referrers Feedback

This is the third-party feedback form that we require referring agencies like school to fill in after the young person has completed the years programme.

Referrer’s Feedback (Word format)