Perfect Fit Referral

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General Referral For The Perfect Fit

The Perfect Fit’s mission is to empower women with the confidence they need to accomplish their goals.

Please complete this form for us to schedule an appointment for your client or yourself if this is a “self” referral.

IMPORTANT: This form is NOT for clients receiving TANF benefits. All clients currently receiving cash assistance from the State of Pennsylvania MUST be referred by their county caseworker using the PAWW (PA Work Wear) Referral.

Upon submission of the completed form, we will contact the client by phone to schedule an appointment.

We are located at 609 W. Hamilton St. Suite LL200 in Allentown, PA. Any questions please call our office at 610-871-5060 or email us at info@ywcaallentown.org.

We ask that you do not bring children or other guests with you to your appointment. We encourage you to use your time at the Perfect Fit to focus completely on YOU— your goals, your plans, your choices.

Perfect Fit General Referral

Referral form for the Perfect Fit for Working Women
MM slash DD slash YYYY
Type of Referral (Please check one option)(Required)
Client's Legal Name(Required)
Client's Preferred Name
Reason for Referral(Required)
Your Name(Required)
Your Email(Required)
How did you hear about us?(Required)