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Referral Forms

Youth Mentor

MENTOR REFERRAL.  We are currently putting a hold on Youth Menor referrals due to program restructuring. For questions please email the Program Manager, Jose Huizar (jose@casaplacer.org).

Family Mentor

FAMILY MENTOR REFERRAL. Complete our Family Mentor Referral Form. Once completed it will be sent to our team member, Kristi Varnum (Kristi@casaplacer.org).

Prosper Placer

Please CLICK HERE to LEARN about the role of a Prosper Placer “Change Leader” (participating family). To APPLY to become a Change Leader, fill out a APPLICATION form by filling out the form.

To become one of the Prosper Placer “Allies” (Community Volunteers), CLICK HERE for the application form.

For more information, contact Program Supervisor Katja Pollmann at katja@casaplacer.org, Frida Diaz at Frida@casaplacer.org, or call our office: (530) 887-1006.

BE BOLD

BE BOLD REFERRAL. Complete our BE BOLD Referral Form. Once completed it will be sent to our Program Manager, Taylor. You can also reach her at (530) 887-1006 or taylor@casaplacer.org.