Mentee Referral

Please, complete this form if you were recently homeless, are currently homeless, or you are at risk of becoming homeless and would like to be considered for mentoring or if you are a professional, friend or relation working with someone who has recently been or is currently facing homelessness and you would like them to be considered for mentoring.

If you do not have a telephone number please, arrange to visit the centre. 

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

  • That I am/they are 18 or over.

  • I give my consent/I have consent to make this referral.

Thank you for your submission.


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