Make A Referral

Taking steps to a transformed life.

If you think we are able to support you, a loved one, or someone you are looking to refer in a professional context, we would love to hear from you.

Making a referral to Langley Trust is straightforward

We welcome both professional and personal referrals from anyone over the age of 18, even self-referrals. All applicants will be assessed for support needs and suitability. The assessment will be completed using a combination of support documentation and face-to-face or telephone interviews.

If you have any questions or would like to talk to someone before making a referral please do not hesitate to get in touch using the details or form below.

Your Application

To start an application please download and fill in the Client Application Form below. The information we require to process your referral application includes:

  • A completed Client Application Form
  • An OASys risk assessment / relevant risk assessment
  • An up-to-date list of previous conviction
  • Please include client photo ID when you submit the application

Note: The requirement for this information is supported by the Information Sharing Agreement between Langley and HMPPS.

Client Application Form Email Referrals Team

Please email your completed application form and supporting documentation to Organisations within Government secure networks or with access to CJSM can use our secure email address

You can also post your completed application form and supporting documentation to us at:

Langley Trust, 3 & 4 The Square, Manfield Avenue, Coventry, CV2 2QJ


What if I don’t have all the documents listed?

That’s ok. Please fill in as much information as you can on the Client Application Form and include the contact details – telephone number and email address – of the person making the referral and the Probation Officer or Offender Manager. Our Referrals Team will get in touch with them if any additional information is required.

Can I talk to someone about my referral before I send an application?

Yes, you can. Our Referrals Manager is very happy to discuss any questions or concerns you have about a referral.

Please get in touch by phone 02476 587 360 or email

Is there anything I can do to speed up the process?

Please send as much supporting information and detail as possible to help speed up the process. It will also help if you can tell us which of our services or which area of the country you would prefer the referral to be assessed for. View Our Services page to learn more about our different services.

Can I bring my pet to live with me?

Unfortunately we are not able to accommodate pets.

Can my family live with me?

We only offer shared accommodation and so we are unable to accommodate partners and families. Family and friends over 18 years old can visit but will not be allowed to stay overnight.

Which service is most suitable?

Our services differ and some may be more suitable for your applicant than others. For example, some services provide support for specific client groups. The referrals team will be happy to answer any questions you may have and suggest the most suitable service.

View Our Services page to learn more about the different services we offer.

How can I check the progress of a referral?

We will keep you informed of the progress of a referral. Please email or call 02476 587 360 if you need an update.