For court counselors, social workers & school resource officers

Refer a student to A.R.I.S.E.

Use the JCPC Universal Referral Form to refer a young person to the A.R.I.S.E. program.

Open & Complete the Universal Referral Form →

Open the form in Adobe Acrobat and fill out the required fields.
Download and save a copy of the completed form.
Email the completed form to Stacy@KRE8ivU.org.

Need help? Call Stacy at 336-962-5738, option 2.

KRE8ivU · Let’s connect

Connect a young person with A.R.I.S.E.

Start a referral conversation with our team. Share your professional contact details and a few basics about program fit.

Start a referral inquiry

Your name

Your work email

Your phone number

Agency / school / organization

Your referral role

County where the student lives

Student age range

Student grade level

Program interest

Preferred contact method

Questions about program fit or next steps (optional)

Please do not include student or guardian names, dates of birth, case numbers, court records, or medical information. Our team will explain the intake process.

We use these details to respond to your inquiry. Privacy policy.

Refer a student to A.R.I.S.E.

Connect a young person with A.R.I.S.E.

Start a referral inquiry

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