Great Expectations Referral Form

Know someone who can benefit from Great Expectations?

If you are working with a current or former foster youth (aged 17-24) please use this fom to refer a student to the Great Expectations program at Thomas Nelson Community College.

1. Student Name: *This question is required.

2. Student Address:

3. Best number to reach student: *This question is required.

4. Student email: This question requires a valid email address.

6. Name of Referring Individual: *This question is required.

7. Best contact Information for Referring Individual (number and/or email): *This question is required.

8. At what age(s) was this youth in Foster Care and/or Independent Living?

9. If the youth was adopted, at what age were they adopted?

10. In your experience, what barriers does this student have in regards to attaining an education?

11. Does the student have any special needs or disabilities?

12. Has the student expressed interest in any particular career or field of study?

13. Is the student aware of this referral? *This question is required.