Aspire Life Coach Referral

We believe that each teen and young adult who has experienced foster care can realize their dreams with guidance from a certified life coach and with support from an extensive community network.

Aspire life coaches lived in foster care as youth, transitioned to adulthood with guidance, and are now ready to give back: to coach youth and young adults during the transition from care and throughout young adulthood.

Aspire life coaches listen to the dreams of each individual and focus conversation and action in the following areas: development of career options, pursuit of further education, confidence with money and budgets, security in housing and transport, and living a purposeful life with conviction.

*** Our program is currently focused in South Carolina only ****

Aspire Referral

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Today

Has the client ever lived in foster care, either currently or in the past?

Are you the Client?

Client Information

Client First Name

Client Last Name

Client Gender

Client Ethnicity / Race

Client Education Level

Client Date of Birth

Client Career Path

Client Email

Client Phone Number

Client Location (County)

Client Location (Address)

Foster Care Information

County in Charge of Case

State in Charge of Case

Case Manager Name

Case Manager Email

Unit Supervisor Name

Unit Supervisor Email

Caregiver Name

Caregiver Phone

Caregiver Email

CASA or Guardian ad Litem Name

CASA or Guardian ad Litem Phone

CASA or Guardian ad Litem Email

Helpful Information

What are your interests and goals? What do you like to do and dream of doing, both short term and long term?

What are some of your personality traits? How do others describe you (think positive)?

What does your support network look like? Who do you go to most for support?

Describe your academic and career success and struggles so far (detail is good)

Where do you live currently?

Is there any other information you'd like to share, to better serve you?

Support Person

Your relationship to the client

Your Name

Your Last Name

Your Email

Your Phone Number

Helpful Client Information

What are the client's interests and goals? What does the client like to do and dream of doing, both short term and long term?

What are some of the client’s personality traits? How do others describe the client (think positive)?

What does the client's support network look like? Who does the client go to most for support?

Describe academic and career success and struggles so far (detail is good).

Where does the client live currently?

Is there any other information needed, to better serve the client?

The student does not qualify for this program.

We're sorry but this program is only offered to individuals with current or past experience in foster care. Thank you for understanding. If you would like us to help you to find another resource, please submit this form and we will be in touch.

Your Name and Email