Youthlink Referral

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PLEASE NOTE: WE ARE NOW ACCEPTING REFERRALS FROM BLYTH FOR A NORTHUMBERLAND YOUTH LINK PROGRAMME.

If you would like to refer someone into our Youth Link or CAN peer mentoring Service, the following age restrictions apply:

Newcastle Youth Link - between 11 -18
Your Future Matters (For girls have have experienced or been effected by Violence Your Future Matters covers Blyth and surrounding areas only) and general Blyth based referrals of all sexes - Between 11-18
Confident Adults Newcastle (CAN) - Between 18-25

Please specify below which project you are referring into:

Project *

Confident Adults Newcastle (Contact Rebecca on 01912733997 for self referrals)

Newcastle Youth Link: Young people living in Newcastle (contact number 0191 2733997)

Blyth Youth Link & Your Future Matters Northumberland

Culture Link

Please complete the referral form as fully as possible. A member of staff will contact you to outline the service, and discuss what support and opportunities we provide, including a convenient date to meet. Thank you for your interest and we look forward to working with you.

Any fields marked with a red asterisk * are mandatory and should be completed.

Referrer's Details

First Name *

Last Name *

Mobile

Phone

Ext.

Please type in the organisation name this referral is from; if we have a record of it on our database this field will suggest a match. Otherwise, please enter a new record by typing in the name and completing the details below.

Referrer's Organisation

Organization Name

Address Line 1

Address Line 2

Address Line 3

Town/ City

Postal Code

Organisation Email

Organisation Phone

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Youthlink Referral