P&I Referral Form
Fill out this confidential form and get connected to Prevention and Intervention Services for youth experiencing homelessness or housing instability. This form adds you to our referral list. You will get a call from a Prevention and Intervention Coordinator within 2 days.

** If you do not hear back from us within 2 days, please text or leave a voicemail (916) 525-5965 too ensure your application has been assessed.**

This form is a great place to start in getting connected. We will connect with resources and advice on how to best navigate Sacramento's crazy housing scene.
First Name *
Your answer
Last Name *
Your answer
Phone Number
Your answer
If we can't reach you at the phone number you listed, what are other numbers we should try? Give the name of the person and their connection to you. For example, you might list your friend's number.
Your answer
Email
Your answer
Preferred Method of Contact *
Required
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