Nominate your students

WHAT IS IT?


The form your school uses to refer individual students to HAD in Schools mentoring. Captures student information, reason for referral, current support in place, and consent status.

One form is to be completed per student participating in a HAD in Schools Program.

HAD in Schools recommends submitting forms for ‘back up’ students who may participate in a session if one of the originally nominated students is absent.

when TO USe IT?


After identifying suitable students (via SAEBRS, teacher observations, or existing wellbeing data).

Ensure that you have also requested parent/guardian consent either prior to or very soon after completing this form.

Why collect this information?


Who completes it?


Nomination forms should be completed by one of:

  • Teacher of the student

  • Wellbeing Manager

  • A teacher/staff member who knows the student well

what happens next?


Our team reviews student profiles to confirm student suitability and mentors prepare tailored session plans before program delivery begins.

In the unlikely event that a student is deemed unsuitable for our program, we will contact you to discuss alternative students to be nominated.

Capturing relevant student information prior to participation in the HAD in Schools Program is essential to ensure the safety, wellbeing, and suitability of each student, and to support effective program delivery within a school environment.

Why we collect this information:

  1. To meet our duty of care and support student safety

  2. To identify any medical, physical, or wellbeing considerations

  3. To ensure the program is a safe and appropriate fit for each student

  4. To support child safeguarding and clear supervision boundaries

  5. To help mentors engage students appropriately from day one

  6. To enable effective incident response and escalation if required

  7. To maintain clear communication and accountability with schools

  8. To meet school governance, insurance, and compliance requirements

  9. To support program evaluation, allowing us to compare pre- and post-program data and continuously improve our model while demonstrating program outcomes

All student information is handled confidentially, stored securely, and used only for program delivery, safeguarding, evaluation, and duty of care, in line with our Privacy Policy.

  • “At the start of 2025, I had a distant, sad and withdrawn student. Now I have a happy, engaged, and confident student who can acknowledge and reflect on his actions and is willing to talk through conflicts”.

    —Teacher, Birmingham Primary School

  • "We’ve seen the positive impact on our students, and the program is now strongly recognised and endorsed by both staff, students and parents"

    —Youth Counsellor, Upper Yarra Secondary College

  • "This program has completely transformed my child. Previous to working with Georgia, she would get stressed, anxious and was struggling with the tools to help. Through Georgia’s lived experience in the sporting world, our daughter instantly felt a connection with someone who has felt this way at times. Now she has better coping mechanisms that she puts to great use"

    -Parent, Birmingham Primary School