Referral Form

Eligibility: We accept referrals for those who are returning to or living in Dorset and Hampshire. For Footprints Through the Gate Mentoring, we require a minimum of 12 weeks’ notice before release, to allow us to assess people in prison or arrange a collection. If the individual has less than 12 weeks left of their sentence, please contact the local coordinator in that area before completing a referral.

To enable us to consider this referral, please provide as much detail as possible, completing all sections of the form.

By completing this referral, I confirm that the client is aware that they are being referred and has consented for their details to be shared with The Footprints Project.

Client Details:

Referrer Details:

Risk Information: We require full risk information to support people. You will be provided with the secure email addresses to send relevant risk information (current OASys report, most recent Oral Report, Pre-sentence Report or PNC) after submission of the form. Failure to provide full risk information may result in us rejecting the referral or a delay in support.