For Teachers

Do you have a student in your classroom who would benefit from the YouthBASE program?

  • Fill out the referral form. YouthBASE staff will contact you within 2 days upon receiving the information.
  • Please contact the child’s parent and tell them that you have referred their child to YouthBASE. You may send a child application form home after speaking to YouthBASE staff.
  • Parents are asked to bring the application to YouthBASE to meet our staff and attend a parent meeting.
  • Upon enrollment, parent will notify school of transportation change.
  • Call or email if you have any questions. ltassie@youthbase.org

We want to partner with you. Staff will communicate with you to assess progress or needs, attain reading levels (quarterly), ask you to fill out a survey. Please do not hesitate to contact us if there is a way that we can support you. We appreciate all that you do!

Child Application

K5 Enrollment Referral Form

Complete form below

1st Grade Enrollment Referral Form

Complete form below

Contact Us

9 + 3 =