EMM - Make a Referral  


If you are a college, sixth form or training provider in County Durham and want to refer a young person to a Personal Adviser for support because they have left or are at risk of leaving your institution, please complete the form below.

If you are not making a referral please contact us using our online enquiry form.

Making a referral

Please provide the following information which will assist us in making a referral to a Personal Adviser for support. Do not include information that is personal or sensitive.

A Personal Adviser will contact you within 5 working days to gather further background information prior to contacting the young person. You will receive feedback on the outcome of your referral within 30 days.

All fields marked with an asterisk (*) are mandatory.

About You
First Name *
Last Name *
Institution *
Work Telephone Number *
Mobile Number
Email *
About the Young Person
First Name *
Last Name *
Date of Birth *
Postcode *
Address *
Contact Telephone Number *
Email
Reason for referral *
Please give brief details *

EMM Referral

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