refer a participant Form

Instructions for Referring a Participant

1. Determine Eligibility

Ensure the participant meets the eligibility criteria for referral:

• Young women required to complete court-mandated volunteer hours

• Participants open to engaging in skill-building and community service opportunities

2. Complete the Referral Form

• Download the “Refer a Participant” Form from our website or request a copy via email at elainah@secondchancevolunteers.org

• Fill out all required sections, including:

• Participant Information: Full name, contact details, and address

• Referral Source: Agency or individual referring the participant, including contact information

• Case Details: Reason for referral, required volunteer hours, and completion deadline

• Special Considerations: Any accessibility needs, scheduling constraints, or specific interests

3. Obtain Consent

• Confirm that the participant has agreed to participate in the program

• Ensure the consent section of the form is signed and dated by the referring party and, if possible, by the participant

4. Submit the Form

• Alternatively, mail the form to: Second Chance Volunteers Inc.

1266 E Main Street, STE 700R

Stamford, CT 06902

5. Await Confirmation

• Once the form is submitted, our team will review the information

• You will receive an email or phone call within 1–3 business days to confirm acceptance or request additional details

6. Orientation and Onboarding

• Once accepted, the participant will be invited to attend an orientation session to learn more about the program and start their volunteer journey

Need Help?

If you have any questions or need assistance completing the form, please contact us at:

• Phone: (855) 414-4440

We are here to support you and the participant throughout the process.

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