Young Adult Application

  • Basic Information

  • A social security number is necessary for us to verify and process your application. A staff member will contact you by phone to explain our interview process and you will be asked to provide your social security number and submit to a background check at that time. Thank you.
  • Required for in-house statistical and tracking only. Information is not used in any decision-making process.
  • Required for in-house statistical and tracking only. Information is not used in any decision-making process.
  • Current Housing

  • Employment

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Occupancy

  • NameAgeRelationshipSchoolGender (Optional) 
  • Date Format: MM slash DD slash YYYY
  • Debt

  • Monthly Bills

  • Type of BillAmount 
  • Income

  • SourceAmount 
  • Medical

  • NameProblemMedication 
  • Legal

  • This field is for validation purposes and should be left unchanged.

Address:
6600 NW Tower Drive
Platte Woods, MO 64151

Hillcrest Platte County

Helping Homeless Families Find Their Way Home

HPC is a 501(c)3. Our Tax ID number is 32- 0073248. All contributions are eligible for a tax deduction.

Hours: M-F, 8am-5pm
Phone: (816)382-3422
Website: hillcrestplatte.org