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Apply for Assistance

Are you a transgender or questioning youth ages 13-24 in the Greater Tampa Bay Florida area seeking financial assistance for LGBTQIA+ specialized therapeutic services?

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The FitzLane Project will provide funding for 13 sessions of LGBTQIA+ specialized therapy with the Licensed Mental Health Counselor of your choice!

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Fill out the application below and a member of our team will be in contact with you soon! 

Questions for General Information

These questions are used to obtain basic information about the individual applying for assistance. If you are a guardian applying for assistance for a child, please also provide your name and contact information in the free form area.

Preferred method of communication?
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Do you identify as part of the LGBTQIA+ community?

Questions for Therapist Matching

Preferred method of sessions?
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A therapeutic intern studies and practices under a licensed mental health counselor. These individuals can provide unique perspectives and are often younger than the average therapist.

What days of the week you prefer to attend therapy?
What times of the day you prefer to attend therapy?

Legal Guardian Information

If the individual seeking assistance is under the age of 18, please provide the following information. 

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Trusted Adult Information

If the individual seeking assistance is under the age of 18, and does not have legal guardian support during this time, please provide the below information. This will assist The FitzLane Project in their ability to provide monetary funding to the most at risk youth. Trusted adult individuals can include family members, teachers, school counselors, etc. 

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Demographic Questions

These questions are completely optional and do not have any impact on your ability to be approved for LGBTQIA+ specialized therapeutic funding. They are solely used for metrics to gauge the impact our organization is having within our community.

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Congratulations on taking the steps to become your most authentic self! Someone from The FitzLane Project will be in touch with you within 2 business days.

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