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Enrollment Form

Ready to Get Involved? Start Here.
Whether you’re a young person ready to tap into support, a caregiver looking for safe spaces for your teen, or a service provider referring someone who needs guidance — this is the first step.
We serve youth and young adults ages 12–24 with free, trauma-informed programs rooted in healing, leadership, and opportunity. That includes:

Free therapy & emotional wellness sessions
Youth leadership labs and empowerment workshops

Mentorship, peer support & healing circles

Life skills, job readiness & workforce coaching

Support with school, employment, transportation, and essentials


We also accept referrals from schools, case managers, probation officers, clinicians, and community partners. If you know a young person who could benefit — get them connected now.

 Enrollment & Referral Options
➡️ Youth Enrollment Form 
For youth or caregivers enrolling directly into Melabiz services.
➡️ Referral Form (Partner/Agency Submission)
For professionals referring youth into our programs.

Once submitted, a member of our team will follow up within 48–72 hours to complete onboarding and confirm services.
📞 Questions? Need support filling out a form?
Email us at info@melabiz.org or call (602) 600-5463

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