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Young Person Referral Form

Begin your Journey

Thank you for considering Explore Independence as a potential partner on your journey toward independence. This confidential referral form is designed to help us understand your unique needs and aspirations better. Please take your time to fill out the details accurately, and rest assured, your information will be handled with the utmost care.

Provide essential details such as your full name, date of birth, gender, contact number, and email address. This helps us create a personalized approach to your journey.

Let us know who is referring you, the reason behind the referral, and any specific details from the referring agency or organization. Understanding your background helps us tailor our support to your individual needs.

Open up about any specific challenges you are facing and provide details about experiences such as social isolation, family breakdowns, or difficulties arising from previous circumstances. Your honesty allows us to tailor our support effectively.

Fill the Referral Form

24/7 Support

We are dedicated to maintaining quality accommodation

Explore Independence has a building and location risk assessment that is reviewed on an annual basis. Any risks that are identified are minimised as much as possible. Explore Independence has fire alarm system and fire equipment such as fire extinguishers and fire blankets etc. that are tested and serviced regularly, and any maintenance carried out as quickly as possible. Fire exits are clearly marked.

We currently have a total of four 24/7 Placement Units located at various parts of London.