The Sophie Hayes Foundation Referral Form

Please read eligibility criteria below before completing this form:

  1. Female survivor of trafficking
  2. NRM process NOT essential
  3. Conclusive Grounds Decision NOT essential
  4. No requirement of right to work
  5. 18+ (no upper age limit)
  6. Medium comprehension; Verbal and Written English (ability to follow group conversations using participants handbook)
  7. Ready to engage in 8 weekly group workshops, one to one coaching over 6 months to develop future CV and employability plans

Submission of referral forms does not commit The Sophie Hayes Foundation to Programme enrolment. 

Please share any challenges your client is facing that we should be aware of?*

Survivor Information

Please fill this section with information about your client.

Client Full Name*
Client Contact Number*
Client Email
Address Lines
Postcode *
Date of Birth dd/mm/yyy*
If 'Other Ethnicity'
Native language*
Type of Trafficking*
If yes, please provide details:
If yes, please provide details:
If yes, please provide details:
Is there anything in your experience that we should know about how the client interacts in a group environment? *
How long have you been working with your client?*
Religion*
If yes please give details
Emergency Contact Details: Name, Relationship and Contact Information*

Referral Contact Information

Referral Organisation Name *
Country*
Email*
Confirm Email*
Phone*

As part of the programme The Sophie Hayes Foundation covers participant travel and programme materials.

Registered England & Wales Charity Number: 1145176. Registered Company Number: 78886303

Security

Powered by eTapestry