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Client Referral Form

The purpose of the Strides Outreach Program is to meet the needs of unsheltered people where they are.

In a greater effort to move people off the streets, reduce encounters with law enforcement and to generally prevent living unsafely outdoors, we empower the community to be part of the solution by referring to the Strides Outreach Program.

Please complete the following form to let us know about a potential Client for the Strides Shelter. If you prefer to complete a paper form, please download the form, provide as much information about the potential client as you are able, and return the completed form to Charlene Murray.

Your Name(Required)
Please provide any contact information you have for the Client
Please indicate the date(s) you made contact with the potential Client
Please indicate where you made contact with the potential Client
Please provide a physical description of the Client. Include any identifying features, such as hair style/color; jacket/clothing color; approximate height/weight; and anything else that stands out.
If possible, please upload a photo of the Client so that we may easily locate them.
Accepted file types: jpg, png, Max. file size: 2 MB.
This field is for validation purposes and should be left unchanged.