Referral forms

Please check our Referral Status to see if we are accepting referrals in your area.

We provide leaflets for schools and parents/carers to understand more about referralsWho we are, what we do

This document may help referrers explain the mentoring process:

Who we are, what we do(PDF 9MB)

Please select a form by the borough that your school is based, download, complete and return the referral by secure email to the appropriate Chance UK contact:

Caroline Hopkins: (for Lambeth and Westminster)

Westminster Referral Form
(DOC 69KB)

Lambeth Referral Form

Ross Adams: (for Islington)

Islington Referral Form(DOC 69KB)

Girls Programme Referral Form(DOC 389KB)


Enfield service is closed for referrals

Hackney service is closed for referrals

Waltham Forest service is closed for referrals

Referrals will be assessed by the borough Senior Programme Manager who will aim to give you the result of the assessment within 10 working days.


The intake for our Randomised Controlled Trial is now closed. Schools or families involved in this may wish to refer to these documents:

ECHO Schools Leaflet

(PDF: 562KB)

ECHO Parent Leaflet

(PDF: 468KB)