FAMILYNATION REFERRALS FOR AT-RISK YOUTH

 

WHO ARE YOU REFERRING:

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Age: Grade:
Address:
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Parents First Name:     Parent Last Name:
REASON FOR REFERRAL (Please Give Details)

YOUR INFORMATION:

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Address:
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FamilyNation is committed to providing an inclusive and welcoming environment for all participants of our programs and to ensuring that our organizations decisions are based on individual need. Consistent with this principle, it is our policy not to discriminate in offering access to our resources, programs and activities on the basis of race, color, gender, national origin, age, religion, creed, disability, veteran's status, sexual orientation, gender identity, or gender expression.  This policy ensures that only relevant factors, such as genuine personal need are considered and that consistent standards of conduct and performance are applied when determining who we accept as a program recipient.

 

HAVE A YOUTH IN MIND?

CLICK HERE TO MAKE A REFERRAL

719.465.2001

 

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