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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. empowers young mothers to complete high school and persist through post-secondary education while nurturing their child’s positive development to ensure the success of the whole family.
Donate at https://teensuccess.networkforgood.com
Teen Success, Inc. is a 501(c)(3) nonprofit.
Tax ID: 45-0702884
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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

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©2021 TEEN SUCCESS, INC.

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