• Youth Advocacy Centre Referral form

    The Youth Advocacy Centre offers free, confidential, and voluntary support for young people.

  • About this form

    This form is intended to be used by workers or other adults assisting young people to seek support from the Youth Advocacy Centre.

    Are you a young person contacting YAC directly? Click here.

    Young people can contact the Youth Advocacy Centre directly by following the link above.

    Completing this form

    You are only required to enter information you know.

    Some text fields can be expanded by dragging the corner of the box.

    Our Services

    Please read about our services here before completing the form.

  • Referral information

    Section 1 of 6
  • Informed consent of young person (note: this referral cannot be progressed without these consents)*
  • Social support service for referral (YAC may discuss options with you if necessary)*
  • Legal service for referral

  • Not sure? Read more about our support services here.

    Note: Positive Moves is not currently taking on new referrals.

  • Date of referral
     / /
    2 digit day, 2 digit month, 4 digit year

  • Referrer's details

    Section 2 of 6

  • Young person's details

    Section 3 of 6
  • Date of Birth*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Is it safe to call?
  • Have they worked with YAC previously?*
  • Is this address stable?*
  • Is this address safe to attend?*
  • Are there any pets at the address?
  • Is the address fenced?
  • Gender identity*
  • Current Social Identification Owned
  • Does the young person identify as*
  • Are the family open to receiving support?
  • Is young person transitioning to independence?

  • Legal support information

    Section 4 of 6

  • General legal information (if applicable) e.g.

    • Area of law (e.g. criminal matter, school, family)
    • Court related? (e.g. which court, court date)
    • Police involvement? (e.g police station, police officer, interview date)
    • School issue? (e.g. school, date of exclusion or suspension)
    • Names of other people involved (if known)
  • Current orders

  • General Info

    Section 5 of 6
  • Does young person have a current lawyer
  • Is the young person engaged with education/employment?

  • Support Needs

    Section 6 of 6
  • Other support needs:
  • Has the young person viewed the legal info on the YAC website?

  • Office Use Only:

  • Check list:
  • Address Attained?
  • Risk of Homelessness?
  • Added to Referral spreadsheet?
  • Young person visited website (CLASS Data for Info Count)

  • Once received, the referral will be considered.

    There is no guarantee of support or assistance until confirmed by our office.

    If a young person requires urgent support, please call our office on 07 3356 1002.

    Visit the YAC website here.

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