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REFERRAL
FORMS
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on program title bar to open a printable ".pdf" file.
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you can get it free from:
Click
Red Bar Above for Printable Overview Form
and Referral Form
General
Qualifiers:
Child must reside in the 37
town North Central Region
Child must be in foster or adoptive care and at risk of
disruption
Child can be male or female, 2-18 years of age
Referral must be made through DCF gatekeeper in Hartford DCF FASU
Questions may be directed to Tywann Gibson, FAST Program Coordinator
(860)
951-7268, xt. 107
Click
Red Bar Above for Printable Referral Form
General Qualifiers:
Child must reside in the
southern half of Hartford
Child must have experienced some form of trauma
Child can be male or female
Additional Qualifiers:
DCF-Prevention-Funded
Slots:
Referral must be made by DCF Worker
Child must live in a biological home; no foster or adoptive care allowed
Child may be between 8-13 years of age
Non-DCF-Funded Slots: Referral
may not be made by DCF Workers
Child may live in any type
of home setting, including foster or adoptive care
Child may be between 8-15 years of age
Referral form may be sent to Y-US Program Director, fax 860-951-7269
Questions may be directed to Santos Vazquez, Better Horizons Program
Coordinator
(860)
951-7268, xt. 104
Click
Red Bar Above for Printable Referral Form
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