Families in Transition (FIT) Program Referral
This form is for referrals for students and families seeking information about their eligibility to receive services through the FIT Program. Please complete the referral form below and a staff member will reach out and assist you in completing paperwork to be identified as homeless or an unaccompanied youth.

If you are a teacher or staff member and believe you may have a student who is unhoused please contact your school social worker for more information.

Geri Lovain, HCS Homeless Liaison; Email: lovain_g@hcde.org

Main Office #: 423-498-7073

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Email *
Name of Individual Completing this Form *
Individual Completing Form is the *
Required
Parent/Guardian Name if different than individual completing form.
Parent/Guardian/Unaccompanied Youth Contact Number *
Name of Student(s) *
School(s) *
What is your current living situation? *
What services are you in needing? Check all that apply. *
Required
Other Comments or Questions.
A copy of your responses will be emailed to the address you provided.
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