Homeless Outreach Referral
We are a trauma‑informed outreach program supporting unhoused neighbors throughout St. Petersburg. Our team believes every person’s story matters, and that homelessness is shaped by experiences and trauma that must be understood before healing can begin and stability can be found. Our work starts with listening, honoring each person’s history, and building trust through compassion and respect.
Information about Person Completing Referral
I am a City of St. Petersburg...
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City Employee
Law Enforcement
Business Owner
Resident
Visitor
Other
Name
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First Name
Last Name
Email
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Please enter a valid email address.
Phone Number
Please enter a valid phone number.
Information about the Homeless Individual Being Referred
Name (if known)
First Name
Last Name
Gender
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Male
Female
Other
Race/Ethnicity
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White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Hispanic or Latino
Location of Individual
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Description of Location
Description of Location (cross streets, landmarks, nearby businesses, street address, etc.)s Line 2
City
State / Province
Postal / Zip Code
Their Exact Location (will populate location of referral)
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Have you seen this individual at this location previously?
Yes
No
Please provide a brief explanation
How many times have you seen this person there? How long have you seen them there? Have you seen them anywhere else?
Description of Individual
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Did the individual appear to have any mobility concerns?
Yes
No
List them here:
Does this person appear to be in a mental health crisis?
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Yes
No
I'm not sure what a mental health crisis looks like
Describe your observation to the best of your ability
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For Example: Did the individual appear to be talking to themselves? Were they demonstrating verbal aggression? Was their speech coherent, linear, or logical?
Any Additional Information/Comments:
Ex. Why are you referring this individual? Anything additional that may helpful for our team to know
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