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Enrollment

Enroll in the Brighter Futures program

Whether you are enrolling yourself or supporting a family member, this form starts the enrollment conversation. Share how to reach you and what you are hoping for, and a team member will follow up with the next step.

A participant and team members in a community garden beside tall sunflowers

What happens next

Three simple steps

  • 1. Send this form

    Tell us who is enrolling, how to reach you, and what you would like to know. You will get a reference number straight away.

  • 2. We follow up

    A team member reaches out by your preferred contact method to answer questions and talk through fit.

  • 3. Next steps together

    If the program looks like a good match, we walk you through what is needed to move forward — at your pace.

Please do not include diagnoses, medical or school records, Social Security numbers, or financial documents in this form. If any of that is needed later, a team member will explain how to share it securely.

Enrollment form

Enrollment request

Required fields are marked with an asterisk. Everything else is optional.

A first name is fine.

Where should we reply?

Optional

Which parts of the program are of most interest?

In your own words, and only what you would like to share. Please leave out diagnoses and records.

Optional — anything that would make a first conversation easier.

We reply by your preferred contact method.