Request Referral Form for IMPACT-NOW’s Youth at Risk

of N.E.E.T Programme

Please fill out the "contact us" form to get an electronic copy of the referral form and to help IMPACT-NOW identify the most appropriate mode of intervention for your situation.

All information will be kept confidential and not shared without consent unless absolutely necessary (for example, if there is an issue regarding safeguarding), in which case all the relevant people will be notified. Any data that is collected for the purpose of reviewing and evaluating our Youth at Risk of N.E.E.T programme will exclude identifying information that associates you with our organisation. 

See our Confidentiality and Privacy policy for more information.

Alternatively, a copy can be posted to you.