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  Empowering teen mothers, transforming lives

Referral for Pregnant or Parenting Youth Program

Teen Success, Inc. is a program for pregnant or parenting young mothers who still need to graduate high school or get a GED.

Use the form below to refer a young woman who could benefit from this program and we'll be in touch with you within one business day. Thank you!
Prefer to print and fax in your referral? Download the form here and fax it to (408)516-9671.

    Participant Referral Form

    Prospective Participant Information:
    Please enter a first and last name.
    Please include any information you might have on the prospective participant's child
    Please let us know what language the prospective member prefers to communicate in. We have Spanish speaking advocates and bi-lingual learning groups.
    Teen Success, Inc. has programs in the following California cities: Fresno, Greenfield, Sacramento, Salinas, and San Jose 
    Where does the prospective member live? 
    Referrer Information
    Please let us know how you heard about our program.
Submit
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Redwood City program members visiting Evernote
Anything is possible when we have genuine support and believe in ourselves." 
- Alba Stephanie, Teen Success, Inc. Graduate
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Visalia member, Angelica, and her son, Mateo
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San Jose graduate, Isabel, and her son, Elias
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Teen Success, Inc. creates economic advancement for multiple generations, by partnering with young mothers to further their education, build life and career skills, and nurture their children’s development. ​
Teen Success, Inc. is a 501(c)(3) nonprofit.
Tax ID: 45-0702884
Click here to donate online.
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Get In Touch With Us
​Headquarters & Bay Area Office
​Sobrato Center for Nonprofits
508 Valley Way, Milpitas, CA 95035


​Main: ​(408) 263-8330​
Email: info@teensuccess.org
Central Valley Office
2909 Tulare Street, Fresno, CA 93721

Sacramento Valley Office
3626 Fair Oaks Blvd #100, Sacramento, CA 95864

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©2011-2022 TEEN SUCCESS, INC.

  • Teen Success, Inc.
  • Program
    • The Need
    • Program Locations
    • Impact >
      • Participant Stories
      • Scholarship Program
  • Teen Moms
    • Join
    • Refer a Member
  • Events
  • About
    • Board of Directors
    • Our Team
    • Careers
    • Reports and Financials
    • Blog
  • Contact
  • Donate
    • Ways to give
    • Our Supporters