Specialist Higher Education Support Work: self-referral form for young people

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RSN's specialist higher education support work project is for 15-25 year old refugees and asylum seekers. We provide face-to-face advice and education pathway planning sessions for those who:

- live or study in Barnet, Brent, Camden, Ealing, Hammersmith & Fulham, Harrow, Kensington & Chelsea, City of Westminster and City of London
- are trying to access higher education now or are planning to do so in the future, and/or
- want to map out pathways to educational progression, through FE and beyond

If you live in a different borough, please complete this form anyway as we can provide you with phone and email advice and, depending on our capacity, we can sometimes also offer face-to-face sessions.

Find out more here: https://www.refugeesupportnetwork.org/posts/33-specialist-higher-education-support-work

Privacy notice
By completing this referral form, you are giving RSN your personal data. We will use your data to contact you about specialist education support work and to provide you with relevant information and support. Your data will be kept for 6 years after the date of submission unless you are, or have been, a looked after child in which case we may keep your information indefinitely. Please refer to our Privacy Policy on our website for more information about how we keep your personal data safe.

Email *

Your name *

Your phone number *

How did you hear about RSN's specialist higher education support work? *

Your date of birth *

YYYY

Where do you live? *

Barnet

Brent

Camden

Ealing

Hammersmith and Fulham

Harrow

Kensington and Chelsea

City of London

City of Westminster

Other:

What is your immigration status? *

Asylum seeker

UASC leave

Limited (or discretionary) leave to remain

Appeal rights exhausted

Humanitarian protection

Indefinite leave to remain

Refugee status

Other:

Why are you referring yourself to RSN’s higher education team? (please give as many details as possible about the information and help you'd like to get from us) *

Any other comments, questions or relevant information?

Do you have any medical condition(s) which would have a potential impact on one-to-one sessions with our team and which we might need to act on in such an event? *

Yes (if yes, please give details below in the comments, questions or relevant information section)

A copy of your responses will be emailed to the address you provided.

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