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Referral Forms

Youth Mentor

MENTOR REFERRAL.  Complete our Placer Youth Mentor Referral Form. Upon submission, the form will automatically be sent to 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 Program Manager, Jamie Nichols (jamie@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.