TCW Referral Form 2025-26

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Email *

This form is NOT required for consultations. If you are only consulting with us, please send documents to referrals@tcw.org.uk. Referral forms must be completed by the LA/referrer only. *

I confirm that this is a referral and not a consultation and I am a referrer and not a parent/carer/social worker

Data Protection Act Notice: The information collected is subject to the Data Protection Act and will be held for monitoring and reporting purposes to the local authority and other related care and educational organisations. All information submitted through this form is STRICTLY CONFIDENTIAL and will be treated sensitively by TCW staff and appropriate authorities only.

IMPORTANT: Once this form is submitted, you will not be able to edit your response. Please check your answers carefully before continuing to the next page and submitting.

If you have any technical issues please contact: referrals@tcw.org.uk.

Student Details

The Complete Works would like to make it clear that submitting this referral does not confirm that the young person is guaranteed a school place or education with us.

Full Name of Student *

Pronouns *

She/Her

He/Him

They/Them

Other:

Gender Identity of Student *

Male

Female

Non-Binary

Other:

Date of Birth *

YYYY

What school year is the student currently in? *

If you are referring someone during the Summer holidays, please enter the school year they are about to go into.

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

Year 7

Year 8

Year 9

Year 10

Year 11

Post-Year 11

Ethnicity of Student *

Arab

Arab British

Asian / Asian British Bangladeshi

Asian / Asian British Chinese

Asian / Asian British Indian

Asian / Asian British Pakistani

Any other Asian / Asian British background

Black African

Black British African

Black Caribbean

Black British Caribbean

Any other Black / African / Caribbean background

White and Asian

White and Black African

White and Black Caribbean

Any other Mixed / Multiple ethnic background

White British (English / Welsh / Scottish / Northern Irish)

White Irish

White Gypsy or Irish Traveller

Any other White background

Any other ethnic group

Refused / Undisclosed

Student's Residential Address *

Full Name of Parent/Carer *

Relationship of above named person to student *

Parent/Carer Telephone Number *

Parent/Carer Email Address *

Do they hold parental responsibility? If not, who does *

Yes

Other:

Do the parent(s)/carer(s) have any needs we should be aware of? *

e.g. mental health needs, language support needs, physical health etc.

Are the parent(s)/carer(s) aware of this referral to TCW? *

Has the LA ensured that all parent(s)/carer(s) have been made aware of all the details of the referral such as roll status, length of contract, and that all of TCW's education is hybrid onsite/offsite learning subject to TCW meeting their needs?

Yes, fully aware

Yes, aware of the referral but not all the details

Name of current or previous school *

Does the student have access to a laptop? *

Yes

Does the student have internet access at home? *

Yes

Unique Pupil Number (UPN) *

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