Expression of Interest – YES Outdoors

Potential candidates for the YES Outdoors mentoring programme can be referred to us by completing the form below. We will respond to all enquiries.

Young Person's Age

Please include a brief description of why the young person would be suitable for this programme

Is the young person aware of the programme?

Yes No

Is the young person’s parent/carer aware of the programme?

Yes No

Has the young person’s parent given permission for this form to be submitted?

Yes No

Referrer's Name

Referral Agency Name

E-Mail

Phone

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