Young Futures Hub of Hope – Referral Form

Based at: The Scrappers, Metro Business Park, 228 Waterloo Street, Bolton, BL1 8HU

Email: hello@genuinefutures.co.uk  |  Web: www.genuinefutures.co.uk

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Section 1 – Young Person’s Details

Full Name

Gender
MaleFemaleNon-BinaryPrefer not to say

Address

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Section 2 – Parent / Guardian Details (if under 18)

Full Name
Relationship to Young Person

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Section 3 – Referrer Details

Full Name
Organisation / Role

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Section 4 – Reason for Referral (tick all that apply)

NEET (Not in Education, Employment or Training)At risk of exclusion / recently excludedCare-experiencedSEND (Special Educational Needs & Disabilities)Mental health & wellbeing support needsYouth justice involvement / at risk of offendingLow confidence / social isolation
Other (please specify):

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Section 5 – Current Situation

Education / Employment status
Key challenges
Strengths / Interests
Support already in place (school, CAMHS, social worker, etc.)

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Section 6 – Consent

Has the young person consented to this referral?
YesNo

Has parent/guardian consented (if under 18)?
YesNoN/A (18+)

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Section 7 – Young Futures Hub Programmes (tick if of interest)

Boss Your Future (15–24) – Enterprise, skills & mentoringRestore Young Futures (12–15) – Alternative provision with therapeutic activitiesWe Shine Any Car – Youth-led car wash & vehicle maintenance enterpriseInspiring Speakers Sessions – Motivation through lived experienceOther opportunities – Workshops, community projects, placements

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(Optional: upload supporting info, max 10MB)

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