For Surrey Residents
Rape and Sexual Abuse Support Centre (RASASC)
Youth support service referral form
*Please note, if you are referring from an agency, you are responsible for the safeguarding needs of your client*
Details of the young person:
Is the young person aged between 13-19?
To help us meet the aims and commitments set out in our equality policy, including not discriminating under the Equality Act 2010, we need to build an accurate picture of who we support in order to encourage equality and diversity. The anonymised data is also required by our funders, and improves our ability to apply for funding.
We need your help to enable us to do this, and we’d be grateful if you could complete the following questions:
Please read our Privacy Policy to understand how we use your data
I confirm that I have read and understood the RASASC Guildford Privacy Policy, and I consent to you using my data
Thank you for getting in touch.
We will get back to you as soon as possible.
Sorry, there was an error submitting your form.
Please try again later.
All Rights Reserved | RASASC | Registered Charity Number: 1145816 | Company Number: 07858989