All4one Referral Form | Greater Manchester Immigration Aid Unit

All4one Information for Referrers:

Thank you for making this referral.

The group meets every Wednesday 4:30-8pm at the Powerhouse in Moss Side (M14 4SL). There is a shared meal each week (Halal / Vegetarian). There are occasional trips out such as to play bowling or go to the cinema.

Young People joining the all4one group should have their own mobile phone.

The young person should be confident in travelling to the city centre / Powerhouse on their own (or dropped off and collected by staff / foster carer)

All4one contact number is 07421 312 170 (Becky - Wednesdays only). Please ask the young person to save this in their phone in order to receive messages about the group. If the number is not saved the messages don't get through (we use a whatsapp broadcast group).

Referring Organisation

Please search for the name of your organisation first

Organisation Name *

Phone Number *

Email *

Young person's details

First Name *

Last Name *

Gender *

Birth Date *

Day

Month

Year

Street Address *

City *

Postal Code *

Phone Number *

Nationality *

Additional client fields

Please provide reason for referral, background information, details of support needs and highlight any particular risks.

Any known allergies?

Dietary requirements

First/home language *

Arrival date in the UK *

Does the Young Person consent to their photo being taken? *

Yes

Does the Young Person consent to video / photographs being taken and used by GMIAU. This may include publishing the photos / videos on the website and other forms of social media / marketing information

Level of verbal English *

Immigration/asylum status *

Social Worker

First Name

Last Name

Phone Number

Emergency Contact

First Name *

Last Name *

Phone Number *

Details of any other professionals involved.

Leave this field blank