The Youth Transitions Program provides youth (12 - 19) with community support during critical academic transitional points. The program offers a wide variety of services, including one-to-one support, life skills, workshops, and peer mentorship opportunities. What region is the youth in? - Select -HamiltonHaltonGrand Erie Youth First Name Youth Last Name Youth's Preferred Name Preferred Pronouns Please share your pronouns. Pronouns are the part of speech used to refer to someone in the third person. We want to know how to respectfully refer to you! Date of Birth Who is completing this form? - Select -Self-referralParent/GuardianTeacherYouth Service ProviderOther... Ally Full Name Information of person making the referral Agency Name if applicable Ally's Preferred Pronouns Ally's phone number Ally's email address Would the youth like to be contacted directly? Yes Yes No No Youth Email Address Youth Phone Number What service(s) do you believe would be helpful? One-to-one: Meet with Youth Support Workers on an on-going basis and create a service plan to overcome barriers to positive mental wellbeing and academic achievement. Life Skills Workshops: Learn and grow through our workshops which focus on skills for success. Peer Mentorship: Meet with a mentor who is in college or university. Homework Club: Homework help from a post-secondary student. All of the above How did you hear about the program? Outreach presentation Social media Other YMCA programming School Flyer Other What's the best way to get in touch? - Select -EmailPhone
What region is the youth in? - Select -HamiltonHaltonGrand Erie Youth First Name Youth Last Name Youth's Preferred Name Preferred Pronouns Please share your pronouns. Pronouns are the part of speech used to refer to someone in the third person. We want to know how to respectfully refer to you! Date of Birth Who is completing this form? - Select -Self-referralParent/GuardianTeacherYouth Service ProviderOther... Ally Full Name Information of person making the referral Agency Name if applicable Ally's Preferred Pronouns Ally's phone number Ally's email address Would the youth like to be contacted directly? Yes Yes No No Youth Email Address Youth Phone Number What service(s) do you believe would be helpful? One-to-one: Meet with Youth Support Workers on an on-going basis and create a service plan to overcome barriers to positive mental wellbeing and academic achievement. Life Skills Workshops: Learn and grow through our workshops which focus on skills for success. Peer Mentorship: Meet with a mentor who is in college or university. Homework Club: Homework help from a post-secondary student. All of the above How did you hear about the program? Outreach presentation Social media Other YMCA programming School Flyer Other What's the best way to get in touch? - Select -EmailPhone
