KRAN Young Person Support Referral Form

KRAN Young Person Support Referral
Thank you for contacting KRAN and for your referral.

We prioritise referrals for Unaccompanied Asylum Seeking Children (UASC) or former UASC individuals.

Please be advised, we do not work with individuals over the age of 26 (unless they are a former UASC) or families. We do not have the knowledge and expertise to help older adults.

We are a Kent-based charity.

Please call our office on 01227 634320 if you need help completing this form, if your situation is urgent, or if you have any questions.

We will get back to you as soon as we can. Please note, we have recently seen a big increase in referrals.

If we cannot help, we will try our best to connect you with the correct service.

We are not a housing provider and are not regulated to give legal advice.
Data Privacy Notice

KRAN stores the data in this referral in accordance with its Data Protection Policy (GDPR) including Data Retention Policy & our Privacy Notice. The referrer should explain to the young person that their details are being shared, why we need them and what their rights are.
Referrer Details
Are you completing the referral form for yourself?*
Who is completing this form?*
What is your connection to the Young Person?*
Referrer First Name*
Referrer Last Name*
Referrer Phone Number*
Please enter a valid phone number.
Referrer Email
example@example.com
Your/Young Person Details
Has the Young Person consented to this referral?*
Please give details for no consent given*
First Name*
Last Name*
Date of Birth*

DayMonthYear
Date
Do you/the Young Person have their own phone?*
Mobile Phone Number
Contact Email
example@example.com
Gender Identity*
Religion*
Other Religion*
Accommodation Type*
Other Accommodation Type*
What is your/the Young Person's connection Kent*
Address (Street)*
Address (City)*
Address (County)*
Address (Postcode)*
Country of Birth*
Nationality*
Date of Arrival to the UK (if exact date is unknown, please give an estimate)*

DayMonthYear
Age on Arrival to the UK*
Did you/the young person arrive to the UK alone?*
Current Immigration Status*
Language Spoken*
Other Language Spoken*
Liberi Number (if known)
Are there any Safeguarding Concerns? Please consider concerns related to the young person, as well as, the safety of other young people*
Safeguarding Concern Details - Please give as much details as possible regarding any concerns, and please include any details of historic or current violent behaviour. Following this referral, you MUST inform us of any changes to the safeguarding and wellbeing of the Young Person. *
Health or Medical Concerns (If 'Unknown' or 'None', please write this below)*
Please select what support is needed (hold down the 'Ctrl' button to select all that apply)*
Please give details about what kind of support is needed*
Support Details
Do you/the Young Person have a Foster Carer?*
Foster Carer Name
Foster Carer Phone Number
Please enter a valid phone number.
Foster Carer Contact Email
example@example.com
Do you/the Young Person have a Social Worker?*
Social Worker Name
Social Worker Organisation
Social Worker Phone Number
Please enter a valid phone number.
Social Worker Email
example@example.com
Do you/the Young Person have a Social Worker Assistant?*
Social Worker Assistant Name
Social Worker Assistant Organisation
Social Worker Assistant Email
example@example.com
Social Worker Assistant Phone Number
Please enter a valid phone number.
Do you/the Young Person have a Personal Advisor?*
Personal Advisor Name
Personal Advisor Organisation
Personal Advisor Email
example@example.com
Personal Advisor Phone Number
Please enter a valid phone number.
Social Worker or Personal Advisor Manager Name
Social Worker or Personal Advisor Manager Number
Please enter a valid phone number.
Social Worker or Personal Advisor Manager Email
example@example.com
Do you/the Young Person have a Housing Support Worker?*
Housing Support Worker Name
Housing Support Worker Organisation
Housing Support Worker Email
example@example.com
Housing Support Worker Phone Number
Please enter a valid phone number.
Do you/the Young Person have a Community Support Officer?*
Community Support Officer Name
Community Support Officer Organisation
Community Support Officer Email
example@example.com
Community Support Officer Phone Number
Please enter a valid phone number.
Do you/the Young Person have a Resettlement Key Worker?*
Resettlement Key Worker Name
Resettlement Key Worker Organisation
Resettlement Key Worker Email
example@example.com
Resettlement Key Worker Phone Number
Please enter a valid phone number.
Do you/the Young Person have a Probation Worker?*
Probation Worker Name
Probation Worker Organisation
Probation Worker Email
example@example.com
Probation Worker Phone Number
Please enter a valid phone number.
Please give details for any other professionals giving you/the Young Person support, please include their name, organisation and contact details
Should be Empty:

Age Dispute
Benefits
Bike Project
Documentation
Education
Employment and Training
ESOL Migrant Women's Class
Financial
Health & Wellbeing
Homelessness
Housing
Immigration and Asylum
Incarceration (detention)
Incarceration (prison)
KRAN Learning for Life
Legal Civil
Legal Crime
Mental health
Mentoring
Other
Physical Health
Police
Social Services
Solicitors
Statutory Meetings
Transport
Travel (outside of UK)
Young Man's Club
Young Women's Circle

KRAN Young Person Support Referral

Data Privacy Notice

Referrer Details

Your/Young Person Details

Support Details