Apply to Become Part of our Network
Thank you so much for your interest in partnering with The FitzLane Project to help support underprivileged transgender youth in the Greater Tampa Bay, Florida area.
In order to match you with individuals seeking assistance, we ask that you complete the below form to the best of your ability. We understand that some questions may be personal in nature. These are asked in an effort to help pre-match potential clients who are looking for certain characteristics in a mental health provider. If you do not feel comfortable answering any question, feel free to leave it blank.
We understand that your commitment to The FitzLane Project is long term and the contents of this form may change over time. Because of this reason, please complete the form based on your current situation. If you have material updates in the future, you can provide these updates by sending an e-mail to alivia@TheFitzLaneProject.org.
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.