Community Partner Referral

Welcome to Sussex Nightstop! Our service is open for referrals between 9.00-3.00pm, Monday to Friday.

The ability for us to offer Nightstop placements is dependent on the number of volunteer hosts we have available to us. Please ring us on 07500 770 996 to check current availability before proceeding – we’re always happy to hear from you.

Young people who stay with Nightstop must meet the following criteria:

•   Have a Local Connection: has lived here for 6 out of the last 12 months or 2 out of the last 5 years, studying/working in the area, immediate family living in the local area
•   Have ID
•   Have access or rights to public funding such as benefits and housing access
•   Be able to manage their own needs and not require high levels of support from others to stay safe, well and manage independently
•   Have the potential to put a housing plan in place (with help from a housing advice worker)
•   Be prepared to sign up to Nightstop placement conditions

If your are an approved partner and the young person your are referring to us meets the above criteria, please complete this form together with the person. A service coordinator will get in touch with you to discuss next steps.

Not an approved partner yet but work with young people? We’d love to hear from you! Give us a call at 07500 770996 to discuss how we can work together.

Please note: For the best chance of a same-day placement we’d advise you to put in your referral form before 11.00am. We are not always able to set up a Nightstop placement on the same day that we receive a referral as it may not always be feasible to do everything we need to do to set up a safe placement in time, including meeting you face2face.

Referrer's details

1. Your name and job title

3. Your contact email This question requires a valid email address.

4. Your contact phone number

5. Your relationship to this young person

6. Length of relationship with the young person and frequency of contact with them

The young person's details

7. Name of the young person (First and Last)

8. What name would they like us to use? (if different to above)

9. What are their preferred pro-nouns?

Please enter an 'other' value for this selection.

10. What's their date of birth? This question requires a valid date format of MM/DD/YYYY.

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11. What's their mobile number?

12. What's their email? This question requires a valid email address.

Information to support your referral

13. Tell us a bit about where they’re sleeping at the moment and why you are worried about them being homeless.
(for example, tell us if they are sofa-surfing / staying somewhere else unsuitable / rough-sleeping and for how long, or if they are at risk of homelessness, when you think they might run out of a safe option of somewhere to sleep. It's also really useful to tell us how or why this has happened)

14. What's their local connection to the Brighton & Hove area?
(e.g. lived here for 6 out of the last 12 months or 2 out of the last 5 years, studying or working in the area, immediate family living in the local area)

15. Do they have access or rights to public funding such as benefits and housing access?

16. We require all potential guests to provide a form of Photo ID e.g. passport, driving licence, student card

Please tick any of the boxes below to tell us which form(s) of ID they have.

Driving licence
Passport
Student card
Other - Write In Please enter an 'other' value for this selection.

17. Upload a copy of the ID mentioned above

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18. It’s very important that Nightstop provides a safe, warm and welcoming service for anyone who stays with us. This means we need to think about their physical and mental well-being as well as the other things that make them feel comfortable and safe.

Tell us a little bit about their physical health - do they have any illness or diagnosed conditions?

19. How would you describe their mental health? (e.g. tell us if they are feeling happy, anxious, depressed, or are having suicidal thoughts)

20. As part of our assessment of all guests who stay with Nightstop we carry out Police checks. Tell us about any contact with the police that might come up if we were to run that check.

21. Is there anything else you would like to tell us about the young person?

22. Do you as the person supporting this young person's application think the young person could be considered as presenting a risk to themselves?

23. Please provide further details

23. Do you think the young person could be considered as presenting a risk to others?

24. Please provide further details

24. Do you think the young person could be at risk from someone else?

25. Please provide further details

25. Given your knowledge of the Nightstop scheme conditions, do you foresee any problems with the young person keeping to these conditions?

26. Why is that?