Transition Mentoring Form

Rehabilitation for Empowerment, Natural Support, Education & Work (RENEW) Transition Mentoring Service – Referral Form


Referral Guidelines:

1. To refer a youth/young adult for RENEW transition mentoring services through North Carolina Families United, please complete this form and return it by fax: 336-395-8830 or mail to: NC Families United, Inc. 206 East Elm Street, Graham, NC 27253
2. Mentoring services are offered to youth (ages 14-26) that may: be struggling with mental health diagnosis such as: ADD/ADHD, Bipolar, Schizophrenia, or trauma-based experience that has led to mental health issues, have broken family ties, have been suspended or dropped out of school, have a history of drug abuse, be a victim of abuse or some kind of traumatic experience that has changed their life, have a family member that is eligible or receives mental health services.
3. Transition activities include: Providing 1-3 hours (per week) of intensive mentoring with our Program Director, developing a transition plan for each youth that adheres to the values and principals of System of Care, and involving youth and their families in transition-related learning opportunities that relate to person-centered transition planning.


Transition Mentoring Referral Form in Word:

Transition Mentoring Services Referral Form

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