Referrals & Participation Forms

On-The-Rise Referrals

We accept referral forms from the Clark County Juvenile Court, Mental Health Agencies, Foster Care Agencies, and the Clark County Department of Job and Family Services. Referral forms can be sent to [email protected].

Referral Form

Participation Form Packet

The participation form packet is required for any On-The-Rise program and can be found bellow:

Consent for Release of Information