Referrals How to sumbit a referral to Horizons4Girls...

Referrals can be made by family, social service workers (private, public, school), and teaching staff. Referrals can be made by anyone concerned about a youth. Once a referral form has been submitted the legal guardian of that young individual will need to work with the director for further authorization forms to be completed. Operating as a non-profit Horizons4Girls is able to serve youth of various financial resources.

For your convenience, we offer two ways to refer a student to receive services from Horizons4Girls. You can complete the form below or you can also download a copy of our referral form here: .

Horizons4Girls Referral

Referred By

Best Time To Call

Student Name

Student Age

Student's School

Student's Current Grade Level


Best Time To Call

Is the parent/guardian expecting a call?

Areas of concern