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.

Perfect Fit General Referral

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