High Street Program
Youth Referral Form

To express your interest in participating in one of our programs, please complete the online form, or contact our office: 1800 719 404

Expression of interest

Expression of interest
Your details
Age Group*
Referring Agency Details (if applicable)
Please check area of interest below. You may select more than one.
Area of interest

The fields marked with an * indicates compulsory field.

By submitting your details, one of our team members will contact you to discuss the opportunities and programs available with you further.

The Brotherhood of St Laurence (BSL) acknowledges and understands its obligations under the UN Convention on the Rights of the Child and recognises that all children and young people have the right to be treated with respect and care, and to be safe from all forms of abuse. BSL has a zero tolerance towards child abuse.
Read the official statement signed by the Executive Director.

The Brotherhood recognises the harm that family violence causes and that freedom from violence is a basic human right.
We will support our staff, volunteers, clients and the community if they experience violence.

Find out more about the work of the Brotherhood
Australian Aboriginal flag, a yellow circle on two horizontal black and red stripes

The Brotherhood of St Laurence acknowledges and recognises the Traditional Owners of the land upon which we live and work, and we pay our respects to their Elders both past and present.

Torres Strait Islander flag, an icon of a traditional headdress on blue, black and green stripes