SERVICE
PROVIDER INTEREST FORM

A Project of Nevada Partnership for Homeless Youth

This form is for service providers who would like to refer a client to the Power ON! Program.

Power ON! is a community collaboration between Nevada Partnership for Homeless Youth, Big Brothers Big Sisters of Southern Nevada, The Gay and Lesbian Community Center of Southern Nevada and The Embracing Project. Through the network and expertise of each agency, youth who are at-risk of or are victims of Commercial Sexual Exploitation or Domestic Sex Trafficking will be able to receive direct services and mentorship. The questions below are designed to better understand the youth’s needs so that appropriate services may be provided.

This form is for youth who are interested in joining Power ON!

Our Partners

partner-logos