Referral Form

We are only able to accept referrals for young people and their families who are current pupils of an Esteem academy.

All referrals must be submitted using our online form.

We are happy to accept requests for support from parents , carers and young people directly or from our Esteem colleagues and  professionals from other agencies.

No referral from a professional will be reviewed by the team without the referrer having gained consent from the family or young person- the referrer will be emailed advising of this.

If you are a parent, carer or young person and you are unsure or would like to discuss your concerns prior to completing the form, please contact the Key Worker linked to your school. This information is on the 'Meet the Team' page under the 'Fasst Team' menu option.

Referral Form for Professionalssy.

Referral Form for Parents, Carers and Young People





Special and Alternative Provision Academies in Derbyshire, Derby City and Staffordshire

Company number: 11403922

Registered Office:

Family And Student Support Team (FAAST)

Esteem Multi-Academy Trust

Suite 43 Pure Offices

Lake View Drive



NG15 0DT

T: 01623 859749

© 2018 Esteem Multi-Academy Trust