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test-form

    Step 1 of 7

    Parent/Carer Details 1



















    Do you have a disability or any form of ill health (including mental health)?

    Parent/Carer Details 2



















    Do you have a disability or any form of ill health (including mental health)?

    Step 2 of 7

    Details of Child 1 with disability










    Details of Child 2 with disability










    Step 3 of 7

    Additional Children/Siblings

    Aiming Higher support the whole family and include siblings wherever possible.

    Sibling details






    Sibling details






    Sibling details






    Sibling details






    Sibling details






    Sibling details






    Sibling details






    Sibling details






    Sibling details






    Sibling details






    Sibling details






    Step 4 of 7
    Are there any of the following in place?

    Parental consent must be in place to attach these documents to this referral.

    Early Help Assessment




    2MB Limit - PDF, Doc & docx accepted


    Child In Need Plan




    2MB Limit - PDF, Doc & docx accepted


    Child Protection Plan




    2MB Limit - PDF, Doc & docx accepted

    Are there any known risks we need to be aware of?

    (for example: volatile behaviour in the home, dogs, disputes with neighbours, drug/alcohol use)

    Step 5 of 7

    Details of all Current Support/Services Involved with the family

    (eg. Doctor/Specialist, Health visitor, CAMHS, SENCO)

    Organisation Name
    Contact Name
    Contact Number

    Step 6 of 7

    Services available at Aiming Higher

    Please tick all services you are interested in accessing.

    If you require a Family Support Worker, what support do you and your family require?

    Step 7 of 7

    Referrer Details


    Is this a self referral?







    Consent Details

    All consent may be withdrawn at any time in line with UK data protection laws

    Has the parent/carer consented to this referral?


    Has the parent/carer consented to Aiming Higher making contact directly with them by phone?


    Has the parent/carer consented to Aiming Higher making contact directly with them by email?


    Has the parent/carer consented to Aiming Higher adding them to their email mailing list? (to receive details of events, activities and their quarterly newsletter. This mailing list is never shared or sold to other parties)


    Has the parent/carer consented to the sharing of any documents attached to this form?


    When the parent/carer us allocated a Family Support Worker - the support worker will make 3 attempts to communicate with the parent/carer. If they do not hear back from the parent/carer within 2 weeks from the date of the first communication attempt the referral will be closed.

    Your data will be kept in accordance with the General Data Protection Regulation (GDPR) (EU) 2016/679. This will be held securely and confidentially. Aiming Higher is registered with the Information Commissioners Office (Reg No ZA187596)


    How we work

    Get involved!


    I’d like to join

    For information on the services we can provide you with as a family, young person or carer. Click here.

    What we do

    I’m a professional

    For information on how to refer families to us and how we can support please click here.

    Working Together

    I’d like to support

    If you’re interested in donating, fundraising or sponsoring us then please click here.

    Get Involved

    Latest News from Aiming Higher

    Take a Walk on the Wildside! Fundraising Challenge

    Posted on 3rd April 2024

    Aiming Higher relies heavily on fundraising, donations and sponsorship to be able to provide the wonderful services they do, and to date have helped more than a thousand children and families. The cost of registration for this hiking challenge,is solely to cover the mountain leaders and guides, and therefore participants are asked to also consider […]

    Read more

    Aiming Higher Ball

    Posted on 5th June 2024

    The Aiming Higher fundraising ball took place on June 1st and proved a great success, raising £4330 to help the team continue to support families. The “Around the world” theme was well received and the partygoers enjoyed a drinks reception, three course meal, fundraising activities and amazing entertainment from drag artist Ruby Sinclair and live […]

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    Volunteers Week

    Posted on 5th June 2024

    This week is Volunteers Week and we’d like to say a big “THANK YOU!” to all who have volunteered at Aiming Higher over the years. We’d also like to shine the spotlight on our amazing team of volunteer counsellors, Katherine, Ruth and Tony who between them, offer counselling Monday – Thursday. If you are registered […]

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    Funding Appeal

    Posted on 15th March 2024

    The Aiming Higher Charity has been supporting disabled children and their families for over 12 years…but now, due to funding cuts, we need your help more than ever. Our ‘Rising Stars’ Preschool Enrichment programme (Rising Stars: Preschool Enrichment Programme | Aiming Higher (aiminghighercharity.org.uk)) has been a lifeline for hundreds of families, but is now in […]

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