This form is to refer a young person to our Reconnect Community Youth Project.

Please complete this form carefully to ensure we have all the necessary information to identify if this is a suitable service for the young person and that we can support them appropriately.

All details on this form will remain confidential and will be stored in line with the requirements of the General Data Protection Regulations (GDPR). Prior to completing this Referral Form, please ensure you have read our Privacy Notice, which can be found here: www.novachildrensproject.co.uk/privacynotice.