Additional Pastoral Support Request Form

Please complete the referral form in FULL.

REFERRAL TYPE

 

YOUNG PERSONS DETAILS

STUDENT TYPE

REFERRERS DETAILS (if relevant)

WHAT TYPE OF SUPPORT DOES THE YOUNG PERSON REQUIRE? (tick as appropriate)

For low level issues, it is expected that Tutors and/or Student Managers offer initial basic support. Referrals will be delayed until this process takes place.

Who has provided support? (Tick as appropriate)

 

Is the student currently working with/or ever worked with:

 

Are there any Child Protection concerns?


Does the referral require a Yellow Form?


Is the student aware of the referral?
Please note, referrals WILL NOT be accepted if the student is not aware.

Is the parent/carer aware of the referral?

 

Form completed by:
Please complete your email address.

Please click here to complete the well-being questionnaire and remember to take your results with you to your first appointment.