Referral - SW!TCH Lives: The Reclaimed Project - LifeLine Projects

  • The Reclaimed Project Referral Form

    A safe space for young women and girls.
  • Funded by MOPAC The Girls and Young Women Local Groups Fund, overseen by Social Finance in partnership with Agenda Alliance and Abianda

  • The Reclaimed Project is LifeLine Projects' year‑long programme to support girls and young women affected by gangs, violence, or exploitation.

    We're creating safe and welcoming local spaces where girls can connect, be heard, and support each other.

  • Before we proceed, please take a moment to review the following statement and indicate your consent by ticking the boxes below.

    Data consent: I confirm I have the relevant consent of the legal parent/guardian or young person to share the information in this referral form with LifeLine Projects.

    I acknowledge that I have reviewed the SW!TCH Privacy Notice and agree to its terms.

  • Please indicate your agreement.*

  • About the Referrer

  • Role/relationship to young person*
  • Safeguarding urgency*

  • About the Young Person

  • Date of birth*
     / /
  • Gender identity*
  • Living situation*

  • Safety and Risk

  • Exploitation and violence risk
  • Digital and online engagement
  • Immediate safeguarding concerns

  • Emotional Wellbeing

  • Presenting emotional needs

  • Exploitation

  • Suspected or known exploitation type*
  • Please specific other types of exploitation

  • Current Support and Agencies

  • Agencies currently involved*
  • Existing safeguarding plans*

  • Referrer Summary

  • Would you like this young person to be considered for additional one-to-one mentoring?
  • Should be Empty: