Do you know a young person who could benefit from extra support, mentorship, or guidance? The 21UP Movement is dedicated to providing transformative opportunities through our empowering programs.

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Referring a young person is simple and accessible:

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• Complete the online form below with their details and your information.

• Download the form in Word format if you prefer to fill it out offline.

• Access the fillable PDF, which can be filled in and submitted digitally.

 

Before you proceed, we encourage you to review our Youth Member's Privacy Policy ​to understand how we protect and manage personal data, ensuring the highest standards of confidentiality.

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Anyone can make a referral, regardless of age. If you’re referring someone under 18, we recommend ensuring they have their guardian’s support.

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Thank you for taking this important step towards fostering growth, resilience, and success in young lives. As Nelson Mandela once said, “The youth of today are the leaders of tomorrow.” Together, we can build a future filled with hope and achievement.