Help Request Form

URL

This field is for validation purposes and should be left unchanged.

Who is completing this form?*

I am a young guy aged between 10 and 25

I am a parent/caregiver of a young guy aged between 10 and 25

I work for an agency and want to refer a young guy aged between 10 and 25

I confirm that I / the young guy lives in Canberra or the surrounding region*

We are only able to provide support to young guys who are able to attend our Canberra offices or are eligible for our regional counselling.

Yes

What's the post code of the young guy?*

We use this to determine which services are available.

Post Code

Young guy's current age*

Please note our counselling services are available to young guys aged 10-25 years, and our mentoring program is available for young guys aged 10-16. For those outside the age range, click here to see some other services that may be able to help.

Counselling

Counselling*

Our counselling sessions are informal and there is no diagnosis. We simply provide an opportunity for the young guy to talk through his issues with qualified counsellor, and together they work out ideas on how to make life better. Learn more here.

Yes, I want to organise a counselling session

No, I don’t want to organise a counselling session

TEMPORARY SERVICE UPDATE: Due to staffing changes, new counselling referrals received will be temporarily paused and will be placed on a waitlist. We apologize for the delay.

Mentoring referrals remain open and are being accepted.

For more information or alternative supports, click here

Counselling Waitlist*

I understand that my enquiry will be placed on a waitlist and processed in the order that it was received.

Menslink's New Remote Video Counselling Trial: Expanding Support to Regional NSW*

Menslink is committed to providing free counselling to young men in Canberra and its surrounding regions. While our face-to-face services in Canberra and it surrounds have been vital, we understand the challenges regional guys face with transportation and time.

We’re excited to launch a trial of our new Remote Video Counselling Service, bringing support directly to you if you live in Yass Valley Council, Snowy Valleys Council, Queanbeyan-Palerang Regional Council or Snowy Monaro Regional Council.

Learn more here

Yes – I’ll take part of the Remote Video Counselling trial

No – I’ll attend counselling sessions in person in Canberra

Please note: Since COVID we have had an increased number of last minute cancellations & ‘no-shows’. Even though we are a ‘no-cost’ service, it costs a lot of money to run our organisation. Late cancellations and no-shows waste our counsellors’ time and prevent services being offered to other young guys who need support.

We are therefore managing late cancellations and no-shows more closely, and this may impact clients’ ability to access our services where we feel there is a lack of commitment to attending. If you want to discuss this policy, please give us a call.

Mentoring

Mentoring eligiblity – does the young guy live with, or have regular contact with, his Dad or step-Dad?*

Yes

No

Not interested in the Mentoring Program

Unfortunately, due to high demand, our mentoring program is only open to young guys who do not have regular contact with their Dad or step-Dad.

Mentoring*

Our Mentoring Program pairs up a young guy with a volunteer mentor for a 2 year period. The young guy and mentor catch up about once every two weeks and do lots of fun stuff. Our volunteers are just regular guys with lots of life experience. Learn more here.

Yes, I want to apply for the Mentoring Program

No, I don’t want to apply for the Mentoring Program

Help Request Form

TEMPORARY SERVICE UPDATE

Complete your referral

Counselling

Mentoring

Young guy details

Parent / Caregiver Details

Agency Details

Emergency Contact Details

Young guy's life situation

Violent or Abusive Situations

How can Menslink help?