Note of Interest:

“Turn Your Life Around” Volunteer

Full Name:
Contact Telephone
Contact Email
Date of Birth
Secondary School I attended
Challenges I Faced: / ü Tick any that apply
r bullying
r family issues
r being looked after or accommodated
r offending behaviour
r mental health concerns
r substance use
r bereavement
r migration to UK/English as a second language
r other (please detail below)
I Am Now... / ü Tick any that apply:
r volunteering
r working
r self employed
r studying
r enjoying positive relationships
r involved in hobbies or group activities
r looking after my wellbeing
r other (please detail below)
I would like to help support young people currently experiencing these issues because...
Name, contact details and email of a referee (ideally from a voluntary or public sector organisation):

Please return this completed form to