Careers Team referral form

Our Careers Advisers can provide information, advice, guidance and support to young people Post-16 (school leavers) living in West Sussex and are NOT in education, employment or training (NEET). We may also be able to help if a young person is working or studying part-time (less than 16 hours). We can support a young person who has previously been on an EHCP up to the age of 25.

We can help young people to think about next steps, recognise your skills, strengths and ambitions and find out about local opportunities. If we are unable to support the young person, then we will sign post to an appropriate service.

Young Person's Details

Young person's Name (Including any alias' or 'known as')

* required

Maximum 255 characters

0/255

D.O.B

* required

Maximum 255 characters

0/255

Full Address including postcode

* required

Maximum 255 characters

0/255

Young person telephone/mobile number

* required

Maximum 255 characters

0/255

Young person's email

Maximum 255 characters

0/255

Parent/Carer name

Maximum 255 characters

0/255

Parent/Carer telephone number

Maximum 255 characters

0/255

Has the young person previously had an EHCP? (Education, Health and Care Plan)

* required

Yes

Is the young person undergoing an EHCNA? (Education Health Care Needs Assessment)

* required

YES

N/A

11.

Please select any of the relevant options that apply for the young person. This will help us to understand if there are any other professionals working to support the young person.

On a Child Protection Plan (Children's Social Care)

On a Child In Need Plan (Children's Social Care)

On an Early Help Plan (Children's Services)

Supported by the Youth Justice Service (YJS)

Supported by Youth Emotional Support (YES)

N/A

Other (please specify)

12.

Is the young person a WSCC looked-after child or care leaver?

* required

Yes

Other (please specify)

13.

Young person MOSAIC/Core+ reference (if known)

Maximum 255 characters

0/255

14.

Current status e.g., Not in employment, education or training (NEET); Employed (part-time/full-time); Other (please provide as much detail as possible)

* required

Maximum 255 characters

0/255

15.

Current qualification level e.g., GCSE, A level, BTEC etc.

* required

Maximum 255 characters

0/255

16.

Why is the young person being referred for careers support?

* required

Young Person's Identity

The Careers Team is committed to making sure every client feels safe, welcome, and respected. Understanding more about your identity will support us in delivering the best service to you and ensure we are meeting the needs of every community in West Sussex.

18.

Gender Identity (Leave blank if you prefer not to say)

Maximum 255 characters

0/255

19.

Sexual Orientation (Leave blank if you prefer not to say)

Maximum 255 characters

0/255

Who is making the referral?

20.

Name

Maximum 255 characters

0/255

21.

Organisation/Relation to young person

Maximum 255 characters

0/255

22.

Telephone number

Maximum 255 characters

0/255

23.

Maximum 255 characters

0/255

24.

Is the young person aware of the referral?

* required

Yes

Other (please specify)

25.

Are there any potential safeguarding considerations that we need to be aware of e.g., pets in the household; history of conflict with professionals etc.

* required

Select option