Without breaching confidentiality, please provide a brief summary of why the student is being referred.

Please check the service(s) applicable to the child’s needs.

If you checked "Other" services, please provide a service you would like us to provide an answer below.

How did you hear about Youth Enrichment Services?

Additional Information:

YES General Interest Form


If you know of a child that would benefit from the YES program, please fill out the form below. Fill out the information to the best of your ability so that our staff can better understand how to meet the needs of the child you are interested in connecting to our programming. Please allow 48 – 72 hours for a follow-up from a Youth Enrichment Services staff member.


6031 Broad Street #202

Pittsburgh, PA  15206 


T: 412-661-7834 



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