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I understand that a referral does not mean that I am guaranteed a place on the programme.

I have been given/had a look at information about the programme and what is involved

I have checked I meet the eligibility criteria.

I understand that the programme is running as a Randomised Control Trial (RCT), and once registered, young people have a 50% chance of receiving a paid work placement, as long as there are placements available.

How did you hear about this programme?

Please type in where you heard about the programme

Who is completing this form?

Agree to UK Youth privacy policy?

Your Details (young person)

Date of Referral (Today's Date)

Your Full Legal Name (as it appears on passport or ID)

Preferred Pronouns

Other Pronoun

What is your preferred name? (Enter 'as above' if it's the same as your legal name)

Date of Birth

Programme age: 16-20 years (Born between 22-May-2006 and 22-May-2010)

Gender

Other - Gender

Ethnicity

Other - Ethnicity

Email Address

Please retype your email address

Phone Number

Are you still in school?

Have you participated in programmes or services with one of the Summer Jobs 2026 Local Delivery Partners in the last 6mths?

Referrer Details

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Referrer's Full Name

Referrer's Contact Number

Referrer's Email Address

Referrer's Organisation Name (If parent/carer enter N/A)

Organisation Type (If parent/carer enter N/A)

Was the young person known to you or your organisation prior to this referral?

Your relationship to the young person

How much does the young person know about The Summer Jobs Programme?

Do you consent to being contacted about the outcome of the young person's allocation into the Summer Jobs programme?

Eligibility Criteria

How old are you?

Do you have the right to work in the UK?

Can you take part in 25 hours of employment each week over the Summer (with reasonable adjustments, if you need them)? Reasonable Adjustments are changes made to make sure you can still do the work if you have additional needs. For example wheelchair access, more frequent breaks, being allowed to wear noise cancelling headphones etc.

Are you available to take part in at least 5 of the 6 weeks of the programme over the Summer? This must include the first prep week.

Are you currently employed for more than 15 hours per week?

Are you studying towards a degree at the moment?

How would you rate your level of spoken English?

Are you not currently involved in/expected to be involved in any legal or professional appointments (for example court hearings/trial, solicitor meetings, or appointments with a youth offending team worker, social worker or GP) that will mean you are unable to commit to the 25 hours per week work placement during the placement period?

Please provide any further relevant details

At the start of the programme, in July 2026, will you be living somewhere that is part of the 'secure estate'? This includes Young Offender Institutions (YOIs), Secure Training Centres (STCs), and Secure Children's Homes (SCHs), for example.

Which area will you be living in during the programme (July-September 2026)?

Which area of South Wales do you currently live in (or you can travel to in 30 mins or less)?

Which area of Greater Manchester do you currently live in (or you can travel to in 30 mins or less)?

Which area of the North East do you currently live in (or you can travel to in 30 mins or less)?

Which area of the West Midlands do you currently live in (or you can travel to in 30 mins or less)?

Which area of London do you currently live in (or you can travel to in 30 mins or less)?

Which area of Yorkshire and the Humber do you currently live in (or you can travel to in 30 mins or less)?

Are you already supported by, or attending services run by a youth organisation delivering the Summer Jobs Programme in your area?

Please select all of the eligibility statements

Please provide a summary explanation in under 50 words