Test Referral Form
This referral form is only to be used by Proud Connections operators at the moment. If you have come to this page and you are not a Proud Connections mentor, please go back!
Notes: this form is written as if the referrer is filling it out themselves, so where it says ‘your name’, ‘your email’, etc., this should be the referrer’s name.
If you have any issues with this form, please contact jack.tielemans@theproudtrust.org with the subject “Test Referral Form”.