Positive Pathways: Make a Referral

Refer a young person to Positive Pathways.

Please complete the form below to refer a young person to the Positive Pathways programme. To be eligible, a young person must:

Be 15-17 years old.
Live in the East or West Midlands.
Be willing to take part in a research study which includes undertaking a survey at the start and end of the programme.
Provide consent to take part (as well as a guardian, carer or parent consenting).

And meet at least one of the following criteria:

Be experiencing high levels of detention, suspension or exclusion.
Have been identified as possibly associating with individuals involved in criminality.
Have been arrested or convicted of a criminal offence (some exclusions apply to this).

Please ensure you read the Memorandum of Understanding (MOU) which contains full inclusion/exclusion criteria and a detailed description of what is involved in signing up to the trial for all parties.

Once you've submitted the form, a member of the Positive Pathways team will contact you to discuss your referral.

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If you'd like to refer more than one young person at a time, please email positivepathways@ingeus.co.uk

Please tell us about the young person you are referring

Young person's first name

Young person's surname

Young person's age (at the time of referral)

Young person's phone number

Which town or city does the young person live in?

Please provide details for the parent/guardian/carer for the young person you are referring

Parent/Guardian/Carer name

Parent/Guardian relation (i.e. Parent/Guardian/Carer/Other)

Parent/Guardian/Carer email

Please provide us with your contact details below and a member of the team will be in touch

Your name

Your organisation

Your role or job title

Your telephone number

Your email

I confirm I have read the MOU and understand what my responsibilities would be as a referring organisation including running enhanced BAU activity if allocated to the control group

I understand the young person is signing up to a randomised control trial and that they have an equal chance of being allocated to either the programme or the control group.

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For young people in the control group, referring organisations will be provided with funding to deliver a small enrichment activity (the 'enhanced BAU'), to the value of £50 per young person (either via a bank transfer or a digital gift card). Please indicate your preference:

Payment method

If the young person is randomly allocated to the BAU/control group, please provide a suggestion for the enhanced BAU enrichment activity

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Please note should your organisation choose to receive enhanced BAU funding via a bank transfer you will need to fill out an additional form before young people can be accepted onto the programme. This form would be sent out to you separately by Ingeus in due course.

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Positive Pathways: Make a Referral

National Citizen Service

National Citizen Service

Ingeus UK

Contact Us

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Positive Pathways: Make a Referral

National Citizen Service

National Citizen Service

Ingeus UK

Contact Us

Connect

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