Transforming Spaces - Referral Form

Our services are currently only available to families living in London.

This form will take 15 - 30 minutes. To complete it, you will need:

• Information on furniture the family requires
• Photos/videos of the bedrooms.

The form has 4 sections. The first two should be completed by you. The third section should be completed by you with answers from the parents or carers of the family. The final section should be completed by you with answers from the children in the family.

This means you will need to be with, or on the phone to, the whole family when completing this form. You must NOT complete the form based on what you think their answers would be, you MUST use their actual words.

By completing this form, you agree to The Childhood Trust using this data for their impact and research work.

Please rate your thoughts on the following areas currently:

The Childhood Trust is a charity in England and Wales with registration number 1154032. The Childhood Trust (the “Charity”) runs a programme called Transforming Spaces (the “Project”) which redecorates children’s bedrooms and community spaces with the help of volunteers. 

Please read the below information carefully and get in touch with Volunteer Programmes (programmesupport@childhoodtrust.org.uk) if you have any questions.

• I agree that my family want to participate in the project.
• I agree to cooperate with charity staff throughout the project, and will tell them if I have any concerns.
• I understand that charity staff will be in contact with me and my referrer throughout the project, and I agree to be responsive.
• I give my consent for volunteers to enter and work in my property during the project.
• I understand that participation in the project may require my cooperation in the following circumstances:
• Receiving furniture deliveries at my home a few days before the project date.
• Clearing personal items from the bedrooms prior to the project date.
• Professional services entering my home to do specific tasks such as decoration and furniture building.
• I agree to inform my referrer and The Childhood Trust immediately if there are any changes to the household which may affect health and safety or safeguarding. I understand that not doing this may result in the cancellation of the project. 

I understand that The Childhood Trust will contact me after the project.

I agree to complete a post project evaluation form 1 week after the project and 3 months after the project.

The Childhood Trust, will at times, invite members of its external partner (Katherine Pooley Ltd.) to attend site visits along with the referral partner. I understand and agree that any pictures taken by this partner may be used for their marketing purposes unless otherwise stated in the below separate questions. 

Data privacy statement: https://www.childhoodtrust.org.uk/privacy-policy/

Please answer the following questions in relation to all your children who are having room redecorations.