Cholmondeley accepts two types of referrals when applying for a child's stay: agency referral, or self-referral.
Those referring a child to Cholmondeley who are from:
- a professional organisation or agency
- a school
- an NGO
- Oranga Tamariki
- a parent/carer
of the child/ren being referred, you may begin the referral process by downloading the self-referral form. You can complete the form by typing directly into the fields provided before printing, signing, and returning to us via one of the following methods:
email | email@example.com
post | PO Box 12276, Beckenham, Christchurch 8242
Alternatively, you can download, print, and fill in by hand a hard copy of of the self-referral form (PDF 627KB). We can also post this form to you if you don't have access to a printer: call 03 329 98 32 to request one.
Please note: A separate form must be complete for each child from one family. Please tell us as much as much about the child's situation as possible. All information you provide will be kept secure and only used for the purpose of assessing the referral and planning for children's wellbeing during their stay.
If you need assistance with this form, or would like more information, please contact us — it's our job to help you where we can.