CBWWYN referral form for self-referral or school teachers*

If you are a young person aged between 12-24 and are seeking support, please complete the referral form below. 

Once the referral has been received, Council's youth team will assess your needs and make an appropriate referral to a suitable youth service. You will then receive an email advising you of the contact information of the organisation and worker. 

* Please note if the referral is created on behalf of a young person,  you will require their consent before proceeding.

Young person details

Referrer details

Thank you for your referral, we will be in touch. Please reach out to Michelle.OConnor@cbcity.nsw.gov.au if you have any concerns or questions.


* Required fields