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Bristol Youth MAPS Agency Form 2018

To refer a young person to our services, please fill out the following form.  This information will help us support them in the best way possible.

Please note, all sections with an '*' must be completed.  

If you cannot fill out this form online, please fill out this document, and email it to us at  If you are a probation or YOT worker you can also send it to

We take data protection seriously, and to find out information about data protection, please read our Privacy Notices, and our Privacy Notice for Young People is here 

We request that you share our Privacy Notice for Young People with the client or service user. Please tick this box before proceeding, to confirm that you have done this:
Clients current housing
Accomodation and Family
Money and rent
Additional information
Referrers Details

All contents copyright© 2020. 1625 Independent People is a charity and a registered society (Co-operative and Community Benefit Societies Act 2014, reg: 23964R exempt from registration with the Charity Commission). Registered office: Kingsley Hall, 59 Old Market Street, Bristol, BS2 0ER. Created & Managed By Solsoft

Privacy Notice and Privacy Statement during Coronavirus