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Mentee Referral

Please, complete this form if you have experienced homelessness or are at risk of becoming homeless and would like to be considered for mentoring


you are a professional, friend or relation supporting someone who has had experienced the above and you would like them to be considered for mentoring.

If you do not have a telephone number please visit us at The Bridge, 43 Melton Street Leicester LE1 3NB.

You may call me if the person I am referring does not have a telephone number
  • can cope with and would benefit from 3-6 months of Face to Face or Telephone Mentoring

  • are 18 or over

  • has given me consent to make this referral on their behalf

Thank you for your submission.


All referrals will be contacted by the Mentor Coordinator in the next seven working days.

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