For Case Workers, Social Workers & Community Partners

Refer a Resident

Know a young adult ages 18–26 who is transitioning out of foster care and needs stable housing and support? Complete the form below and our team will follow up within 2–3 business days.

Submit the Form

Complete all required fields below. The more detail you provide, the better we can prepare.

We Review

Our intake team reviews the referral and assesses fit within 2–3 business days.

We Connect

We reach out to you and the youth to schedule an intake conversation and next steps.

Your Information

Your Full Name *

Job Title / Role

Organization / Agency *

Phone Number *

Email Address *

Your Relationship to Youth *

Youth Information

First Name *

Last Name *

Date of Birth *

Gender Identity

Youth Phone Number

Youth Email Address

Background & Current Situation

Foster Care Status *

Current Housing Situation *

Current County / City *

Employment Status

Education Status

Primary Support Needs

Select all that apply.

Urgency & Additional Notes

Level of Urgency *

Additional Notes

I confirm that I have informed the youth about this referral and have obtained their consent to share their information with Elevate Legacy Living LLC for the purpose of housing and program placement. *

All information submitted through this form is kept strictly confidential and used solely for the purpose of evaluating housing and program eligibility. Elevate Legacy Living LLC does not sell or share personal information with third parties.