Detroit Phoenix Center - SOAR Afterschool Enrichment Program Interest Form
Our SOAR Program provides a safe and supportive environment for teens in need after-school. When youth enroll in SOAR, they have access to food, washer/dryer, computers, hygiene kits, transportation assistance, recreational activities, educational and life skills, Tuesday- Thursday from 4-8. We also have optional member only programming Friday evenings and referrals with program partners for mental health services.
This form will be used as a membership referral for youth who may qualify for SOAR. Due to COVID-19, all services will be virtual and mobile All information is confidential!
Student Organization/ School
Why are you referring this student? (If student referral - please note)
Parent/Guardian Name (if applicable)
Address (if applicable)
13-18 (please check if still enrolled in high school)
Reason for Referral
Basic Need Support (hygiene kits, washer/dryer, bus tickets, food, shower)
Educational Support (tutoring or academic coaching)
Life Skills Support (financial literacy, cooking, computer skills)
After School Enrichment (Tuesday- Thursday 4-8)
Unaccompanied Youth (13-17, not in the physical custody of parent or guardian)
Identification Needs (State ID, Birth Certificate)
Mental Health Support
If the student is seeking Afterschool Enrichment, which enrichment activities?
Hair + Self esteem
Resume Building/ Career Readiness
Theatre For Life
Any other information that we should know?
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This form was created inside of Detroit Phoenix Center.