Career Matters – Thrive CJS Referral Form

REFERRAL form for Career Matters – Thrive

All the information below is essential criteria. Please ensure your form is fully filled in before submitting.

Date/Time of Referral:

Name of referrer and contact details:

Place of Assessment:

Date of Assessment:

Service User Name:

Prisoner Number:

Address (If NFA, please state the name of the resettlement officer involved and previous known address).

Postcode:

Contact Number:

Date of Birth:

Age:

Probation Officer Name:

Nationality:

Veteran Status:

Yes

Length of Sentence:

Arrival Date:

Release Date:

Please copy and paste a copy of your assessment below (including offence details, substance misuse or any social/safeguarding concerns):

Please specifically outline the support you are requesting from the Thrive programme:

Please clearly outline any risk information relevant to lone working or alerts on your system (attach a copy of your risk assessment to referral, if available).

Your referral will be screened, and you will be contacted with an outcome within 7 working days. Should you have any further questions or concerns, please contact us on info@career-matters.org. Many thanks. Career Matters – Thrive

Career Matters – Thrive CJS Referral Form

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