A Promising Resource for the Wellbeing of Children

Refer a Family For Care Community Support

How to Refer a Family

Thank you for taking the time to refer a family that is in need of support.

To protect the privacy of the family we ask that you fill out the form below and we'll send an email to the family you are referring. That email will have the video you see on this page as well as an invitation link for them to request a care community from their home church or a church near to them.

While we try to support every family possible please keep in mind that depending on geography and current volunteer strength we may not be able to support this family at this time.

Requester's Info

Your Name

Your Email

Mobile Phone

Your Church (if applicable)

Foster Family Info

Family Contact Name

Family Contact Email

Current Family Status

Helpful Info

Please tell us why this family might benefit from support.

How did you hear about Chestnut Mountain Village or The Care Community Model?

Privacy & Submit

We are committed to protecting the personal information of families. We will keep no record of the family info unless they explicitly give their permission by submitting their information via the invitation link they will recieve in email sent by this form.

By submitting this form I understand that my data will be used only for establishing a care community around the family I'm referring and used in accordance with the terms of this website's privacy policy.

Refer a Family For Care Community Support

How to Refer a Family

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