Families Employment Service referral form

This referral form is for professionals who have an agreement in place with The Poppy Factory to refer into our Families Employment Programme.

If you would like to make a referral but don’t yet have this agreement in place, please contact us on 02089391837. 

    Please enter your details below*

    Consent

    Please enter details of the individual you are referring below.'.*

    Please use the box below to add information that may be helpful for the employment team to know before contacting this individual.*

    Terms & Conditions