One of the ways in which HomeGrown StL aims to improve the wellbeing and upward mobility of Black boys and young men in St. Louis City and Saint Louis County is by gathering information about organizations in the region that have the ability to serve Black boys and young men ages 12 to 29 years old. HomeGrown StL’s Regional Provider Registry Form allows organizations or groups that provide services to individuals in the St. Louis region to tell us about themselves and their work. The valuable information you share with us about your organization/group will be used to help us understand and improve the region’s capacity to effectively serve Black boys and young men.

The Regional Provider Registry Form will take 10-15 minutes to complete, and should be completed by a core staff member with knowledge of the organization's general activities and capacity. If you are not able to complete the form in one sitting, you can click "Save and Return Later" at the bottom of the page. This will redirect you to a page with a code that will be required to return and edit your responses. This code will also be included in the confirmation email you receive once you have completed the form. Once you are ready to complete the form, you can do so by hovering your mouse over "Returning?" in the top right corner of your screen and clicking "Continue the Survey". You will be prompted to enter your unique return code and provide information for the remaining questions.

Our records indicate that the following organizations have already started or completed a Regional Provider Form. If the name of your organization appears on this list, please do not begin a new form.

  • Behavioral Health Network (BHN)
  • Better Family Life, Inc.
  • BJC Behavioral Health
  • Big Brothers Big Sisters of Eastern Missouri (BBBSEMO)
  • Boys and Girls Club of Greater St. Louis
  • Boys Hope Girls Hope St. Louis
  • CHADS Coalition for Mental Health
  • City of St. Louis Civil Rights Enforcement Agency
  • City of St. Louis Family Court-Juvenile Division
  • County Youth Programs
  • Crime Victim Center
  • Davis Counseling Services LLC
  • ESS
  • Family Court of St. Louis County Mentoring
  • Gateway Region YMCA
  • Independence Center
  • Integrated Health Network (IHN)
  • Kairos Counseling, PLLC
  • Legal Services of Eastern Missouri
  • The Little Bit Foundation
  • Man of Valor, Inc.
  • Manup Global
  • MPRINT
  • NAMI St. Louis
  • Preferred Family Healthcare
  • Places for People
  • Provident Behavioral Health
  • A Red Circle
  • St. Louis Graduates
  • STL Youth Jobs
  • Strength and Honor Mentoring & Tutoring
  • Terrell Borum, MSW, LCSW, LLC
  • University of Missouri Extension (St. Louis County)
  • Urban Golf of Greater St. Louis
  • Urban Strategies, Inc. (USI)
  • The Village PATH
  • Williams and Associates, Inc.
  • Youth in Need

If your agency has already started a form and you need to revise the information provided, you can do so using your Return Code. Please contact Shelley Flynn-Harding (sflynn-harding@wustl.edu) if you need to be sent your Return Code, or if you have any other questions or concerns about your Regional Provider Registry Form.

Note: Agencies interested in joining the HomeGrown StL Mentoring Alliance or in becoming a Preferred Provider with HomeGrown's Preferred Provider Network (PPN) must complete the Regional Provider Registry Form as a part of the registration process.

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