This is a HYBRID programme, please see the Employability Programme fact sheet for course timeline and commitment.

Referral Criteria:

Women survivors of trafficking
NRM process NOT essential
Conclusive Grounds Decision NOT essential
No requirement of right to work
18+ (no upper age limit)
Ability to follow and participate in group conversations
Ready to engage in Module 1 consisting of 9 weekly group workshops. Module 2 conisisting of 7 fortnightly group coaching sessions and Module 3 once a month 90 minute online training with access to education and placements.
Able to take video calls in a private/safe space
A commitment to attend all sessions in the next 12 months

Employability Programme Delivery Locations

We prioritse cohorts from three regions:

London and South
Birmingham and Midlands
Liverpool and North

If you wish to refer from outside areas please get in touch asap. We will work to identify other organisations who are able to refer in to us from the same area as your clients, so we meet the minimum number of survivors in the area cohort. Contact employabilityprogramme@sophiehayesfoundation.org

I acknowledge that the information within this referral form is used by The Sophie Hayes Foundation to determine the suitability of the client to The Sophie Hayes Foundation Employability Programme*

To view our full privacy notice please click here.

Please confirm you have consent from the client to provide all relevant information.*

Is your client registered in the NRM? (Not Essential)*

Has your client been granted a Conclusive Grounds Decision? (Not Essential)*

Does your client have the Legal Right to Work in UK at present? (Not Essential)*

Is your client ready to start thinking about the future?*

Is your client ready to commit to our programme?*

Please select which programme location that you are referring to*

Survivor Information

Please fill this section with information about your client.

Client Full Name*

Client Contact Number*

Client Email

Address Lines*

City

County

Postcode*

Date of Birth dd/mm/yyyy*

Country of Origin *

Ethnicity*

If 'Other Ethnicity'

Gender of Client*

English Level Spoken*

English Level Written*

English Level Reading*

Native language*

Age*

Has your client been re-trafficked?

Does your client have a physical disability? *

If yes, please provide details:

Do your client have a mental health condition?*

If yes, please provide details:

Does your client have a learning disability?*

If yes, please provide details:

Please share any additional health issues that we should be aware of.*

Please share any challenges your client is facing that we should be aware of*

Is there anything in your experience that we should know about how the client interacts in a group environment?*

Please rate their readiness for starting an education/volunteer/work placement *

Has your client worked in the last year? *

If Yes - Please Select What Type

Has your client ever had a full-time job for longer than 4 months?*

What is your client's highest level of education?*

Sexual Orientation *

Does your client have any primary carer responsibilities?

Pre-school aged children
Primary school aged children
Secondary school aged children
Other primary carer responsibilities in the home

If yes please give details

Is your client aware that The Sophie Hayes Foundation does not provide childcare?*

Emergency Contact Details: Name, Relationship and Contact Information*

Remote Access

Please select the devices your client has access to:

Smartphone
Tablet
Laptop
None

Does your client access data through a mobile contract or pay as up go?

What is your client's current Phone Network Provider?

Can you confirm your client has access to a private and safe space to use during their programme calls?

Does your client require a data top up to access this remote service?

Referral Contact Information

Organisation Name*

Job Title*

How long have you been working with your client?*

Country*

Email*

Confirm Email*

Phone*

How are you currently supporting your client?*

Remote
Face to Face
Blend

Are you their current Caseworker/Support Worker? *

Yes
No

If you are not the current Caseworker or Support Worker for the individual you are referring, please complete the information below:

Caseworker/Support Worker Name

Caseworker/Support Worker Number

Caseworker/Support Worker Email

Who is the safeguarding lead for your provision?

Sophie Hayes Foundation will use all the information within the referral form to contact the participant to discuss their interest and enrolment in the Employability Programme. A digital file will be created and used to track the progress of the referral, any and all activities that the participant may engage in with us during and after their completion of the programme. Your details as the referral partner will also be automatically recorded.

Any information that we store will be kept for a reasonable time as seen fit to manage the referral process, all subsequent activities and to meet any funding or statutory requirements.

All external reporting is anonymised as are the names of the participants within our system.

This information enables us to run, fund and evaluate our programmes.

Please note, submission of referral forms does not commit The Sophie Hayes Foundation to Programme enrolment.

Registered England & Wales Charity Number: 1145176. Registered Company Number: 78886303

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Hybrid Employability Programme Referral

I acknowledge that the information within this referral form is used by The Sophie Hayes Foundation to determine the suitability of the client to The Sophie Hayes Foundation Employability Programme*

Please confirm you have consent from the client to provide all relevant information.*

Is your client registered in the NRM? (Not Essential)*

Has your client been granted a Conclusive Grounds Decision? (Not Essential)*

Does your client have the Legal Right to Work in UK at present? (Not Essential)*

Is your client ready to start thinking about the future?*

Is your client ready to commit to our programme?*

Please select which programme location that you are referring to*

Survivor Information

Client Full Name*

Client Contact Number*

Client Email

Address Lines*

City

County

Postcode*

Date of Birth dd/mm/yyyy*

Country of Origin *

Ethnicity*

If 'Other Ethnicity'

Gender of Client*

English Level Spoken*

English Level Written*

English Level Reading*

Native language*

Age*

Type of Trafficking*

Has your client been re-trafficked?

Does your client have a physical disability? *

If yes, please provide details:

Do your client have a mental health condition?*

If yes, please provide details:

Does your client have a learning disability?*

If yes, please provide details:

Please share any additional health issues that we should be aware of.*

Please share any challenges your client is facing that we should be aware of*

Is there anything in your experience that we should know about how the client interacts in a group environment?*

Please rate their readiness for starting an education/volunteer/work placement *

Has your client worked in the last year? *

If Yes - Please Select What Type

Has your client ever had a full-time job for longer than 4 months?*

What is your client's highest level of education?*

Religion*

Sexual Orientation *

Does your client have any primary carer responsibilities?

If yes please give details

Is your client aware that The Sophie Hayes Foundation does not provide childcare?*

Emergency Contact Details: Name, Relationship and Contact Information*

Remote Access

Please select what connectivity access your client has available:

Please select the devices your client has access to:

Does your client access data through a mobile contract or pay as up go?

What is your client's current Phone Network Provider?

Can you confirm your client has access to a private and safe space to use during their programme calls?

Does your client require a data top up to access this remote service?

Referral Contact Information

Organisation Name*

Job Title*

How long have you been working with your client?*

Country*

State / Province*

Address*

City*

State / Province*

*

*

*

*

*

*

Email*

Confirm Email*

Phone*

How are you currently supporting your client?*

Are you their current Caseworker/Support Worker? *

Caseworker/Support Worker Name

Caseworker/Support Worker Number

Caseworker/Support Worker Email

Who is the safeguarding lead for your provision?