MAN & BOY Referral Form for Empowering Relationships
This file provides a comprehensive referral form for families seeking support through the MAN & BOY charity. It outlines the necessary information to foster empowering relationships between boys and their significant male mentors. Fill out the form to facilitate access to engaging activities designed to enhance self-esteem and nurture positive connections.
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How do I fill this out?
To fill out this form, begin by entering your personal information in the designated fields. Ensure that all relevant details about the boy and the male mentor are provided accurately. Review your information for completeness before submitting the form.

How to fill out the MAN & BOY Referral Form for Empowering Relationships?
1
Start by filling in the parent/carer's information.
2
Provide the boy's details including name and school.
3
Complete the man's information if it differs from the parent/carer.
4
Ensure all consent and awareness checkboxes are ticked.
5
Submit the form along with any contributions accordingly.
Who needs the MAN & BOY Referral Form for Empowering Relationships?
1
Parents of boys aged 9 to 12 seeking mentorship.
2
Teachers looking to support students with male role models.
3
Social workers assisting families facing challenges.
4
Uncles or grandfathers wanting to engage with their male relatives.
5
Community organizations aiming to improve youth relationships.
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What are the instructions for submitting this form?
To submit the form, please complete all required sections and ensure all necessary information is included. Once completed, you may email the form to info@manandboy.org or mail it to the address provided at the bottom of the form: MAN&BOY, Richard Mayo Centre, Eden St, Kingston KT1 1HZ. We recommend that you keep a copy for your records before submission.
What are the important dates for this form in 2024 and 2025?
Important dates include program start dates for upcoming activities, typically scheduled for the beginning of each term in 2024 and 2025. Check the MAN & BOY website for specific event details and registration deadlines. Stay informed about any changes or new opportunities for participation.

What is the purpose of this form?
The purpose of this form is to facilitate the referral process for boys in need of a significant male mentor. It is designed to collect essential information that helps the MAN & BOY charity support families effectively. By providing accurate details, you enable our team to connect boys with positive role models, ultimately fostering their personal growth and development.

Tell me about this form and its components and fields line-by-line.

- 1. Parent/Carer Information: Includes name, relationship, contact information, and consent.
- 2. Boy's Information: Requires the boy's name, date of birth, and school details.
- 3. Man's Information: If different from the parent/carer, includes name and contact details.
- 4. Referral Details: Space for provided challenges and support needed.
- 5. Consent and Awareness: Checkbox areas for consent and acknowledgment of the referral process.
What happens if I fail to submit this form?
If the form is not submitted successfully, the referral process cannot proceed. This may delay the boy's access to mentorship opportunities and support programs provided by MAN & BOY. Ensure all required fields are complete to avoid submission issues.
- Incomplete Information: Missing fields may result in an inability to process your referral.
- Consent Issues: Failure to provide necessary consent may prevent the referral from moving forward.
- Wrong Contact Details: Ensure all contact information is accurate for follow-up communication.
How do I know when to use this form?

- 1. Parent Referral: Parents can use this form to seek mentorship for their sons.
- 2. Teacher Initiated Referral: Teachers identifying students in need can complete this form.
- 3. Social Worker Referral: Social workers may use the form to connect families to mentoring services.
- 4. Self-referral: Boys can refer themselves if they seek mentorship opportunities.
- 5. Community Support: Organizations supporting youth can refer boys for mentorship.
Frequently Asked Questions
How do I fill out the referral form?
Carefully complete each section of the form with accurate and relevant information about the boy and mentor.
Is there a cost associated with the program?
The program is free, but we kindly suggest a donation to support families in need.
Can I edit the PDF after downloading?
Yes, you can edit the PDF using PrintFriendly's editing feature before downloading.
Who can refer boys to MAN & BOY program?
Referrals can be made by parents, teachers, social workers, or through self-referral.
What age group does this form target?
This form is aimed at boys aged between 9 and 12 years.
How long does the program last?
The program consists of various activities and can take different lengths depending on the session.
What if I fill out the form incorrectly?
Make sure to review before submitting. You can contact us for assistance if needed.
Can I save the form before submitting?
You can edit and download the form, but it's important to ensure everything is filled out correctly before finalizing.
What type of activities does MAN & BOY offer?
MAN & BOY provides fun and engaging activities that build relationships between boys and their male mentors.
How can I contact MAN & BOY for more information?
You can reach out via the contact information provided on the form or visit our website.
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