Application for young adults in need of help- Hillcrest Platte County

Basic Information

You are applying for the Young Adult Housing Transitional Program for individials between the ages of 17- 23 years old. Hillcrest is an alcohol-free, drug-free and pet-free property. We offer stable housing, financial management, and life skills classes to those interested in learning how to become independent and on the pathway to secure stable housing. If you are over the age of 23 years old and are interested in our Adult Transitional Housing program please apply here:

Full Name including middle:*

First Middle Last Suffix

Phone*

Email*

Applicant Date of Birth*

Where are you living right now?*

Race*

Gender*

Are you currently employed?*

Yes
No

Have you ever been in a Transitional Housing Program before?*

Yes
No

How did you hear about Hillcrest Housing?*

If someone referred you to our program, please provide their name below. If not, enter N/A.*

Phone

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Young Adult Application

Basic Information

Hillcrest Platte County