Alternative Learning Referral

Empowering young people to rediscover their potential and shape their futures.

This form should be completed by a Local Authority, School, or College referring a learner to RedEverywhere’s Alternative Learning Provision (ALP). All personal data will be processed under the UK GDPR and the Data Protection Act 2018.

Sorry, there was a problem with the information you entered. Please double-check your fields and make sure all required information is filled in correctly.

Referral Type

Learner Information

Primary Guardian/Carer Information

Placement Context

Core Assessment Information, Education, Health and Care Plans

Does the student have an EHCP?*

Has an Early Help Assessment (EHA) been completed?*

Is the student under CAMHS supervision or referral?*

Does the student have a personalised Risk/Behaviour/Communication Plan?*

Does the student have a named Social Worker?*

Special Educational Needs and Safeguarding

Diagnosed Special Educational Need?*

Safeguarding Status*

Risk, Health and Behaviour

Please include as much information as possible to help with the assessment.

Educational Information

Please include as much information as possible to help with the assessment.

Professional Contact

I agree that information may be shared between RedEverywhere and listed professionals for safeguarding and educational purposes.*

Programme Objectives

Please include as much information as possible to help with the assessment.

Parent/Carer Consent

By submitting this form, you are giving us permission to contact you by both email and telephone with regards to your enquiry and consent to your personal data being stored and processed as described in our Privacy Policy. RedEverywhere Group stores all data securely and shares information only with relevant professionals to ensure the health, safety, and quality of educational provision.

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