Tutoring Service Referral Form

to be completed by a Professional wishing to refer a Young Carer

Tutoring Service

"*" indicates required fields

The Barnet Young Carers Tuition Service offers our registered young carers (aged 8-24) an opportunity to access a total of 10 sessions of 1:1 tuition in a chosen core subject. The sessions will be offered virtually and will be delivered by our partnership agency, Express Tuition. This service is free for young carers, and funded by Barnet Young Carers.

Once the young carers are identified for this service and all necessary forms are completed, all communication will operate directly with Express Tuition.

Please note that Barnet Young Carers will still be billed for sessions if children do not attend without giving notice. Therefore we have implemented a strict ‘no show’ policy that will mean your place will be lost if you fail to attend the session without providing 24 hour-notice to Express Tuition.

Due to the demand of the service, we have also implemented a referral criteria (detailed below). Our team will carefully review all referrals and offer this service based on priority needs. Anyone who has not been successful in receiving the service will be placed on our waiting list.

For any further queries or questions, please contact [email protected]

Referral Criteria

Children must be registered with us a Young Carer to be considered to receive tuition. Please use this link to be taken to the Professional Referral Form
Referrals for this service must be completed by a teacher, school contact or other professional practitioner (such as a social worker)
Parents/Guardians and Young Carers must be aware and give consent for referral.
Young Carers must have a willingness to engage in this support.
Tuition will only be provided to Young Carers who are currently not receiving any other form of tuition/academic support
Young Carers must be working towards or below the average academic level in the chosen subject in order to access this service.
Referral forms must be completed in as much detail as possible - leaving sections blank may delay the referral process.
Acceptance of this referral will be subject to the quality of the referral form and the Young Carers team’s evaluation of Young Carers needs and urgency in relation to this service.

Emergency Contact Details

Name of Professional*

Job Title of Professional*

Organisation of Professional*

Contact No. of Professional*

Email of Professional*

Has the parent or guardian given consent for this referrall?*

Yes

We ask that you obtain parental consent before continuing with this referral

Name of Parent or Guardian*

First Last

Name of Young Carer*

Gender of Young Carer*

If Other, please state*

Young Carer's Date of Birth*

DD slash MM slash YYYY

Please enter the school's postcode below and click on the Lookup Postcode button

Address of School

City

Postcode

Name of School Contact*

e.g. Head Teacher/Head of Pastoral Staff

Contact No. of School Contact*

Email of School Contact*

Has the young person presented any of the following*

N/A

Behavioural/emotional challenges

Poor attendance at school

Difficulty with concentration

Difficulty undertaking exams and testing

Other

Please Check Appropriate Boxes

Other, please give details*

Behavioural/emotional challenges, please give more details

Poor attendance at school, please give more details

Difficulty with concentration, please give more details

Difficulty undertaking exams and testing, please give more details

Any Risk to Tutor?*

Yes

Unsure

Yes, please give details*

Please select the priority subject you would like the young person to be tutored in:*

English

Mathematics

Science

Exam Preparation (11+, GCSE, A-levels and SATS)

Carer/Employment Support

English (as a second language)

Study of a Modern Language

Please state which modern language the you would like the young carer to be tutored in

Please provide details of the level this young person is working at in this chosen subject, and summary of needs (i.e. specific challenges, required improvements)*

Reasons for Referral*

Please include why the Young Carer has been referred to the service and what you and the Young Carer are hoping to achieve as a result of the service. Does the child have a particular method to learning that works for them? Please include as much detail as possible.

Please complete the questions below

Name of Emergency Contact*

First Last

Contact Number of Emergency Contact*

Is the Young Carer aware of this referral and willing to engage in the tuition service?*

Yes

Please refer back to Referral Criteria, relating to Young Carers must have a willingness to engage in this support

This field is for validation purposes and should be left unchanged.