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

Basic Information
You are applying for the Young Adult Housing Transitional Program. This program is geared towards clean and sober individuals between the ages of 17- 23 years old. 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*
First Middle Last Suffix
Phone*
Email*
Applicant Date of Birth*
Where are you living right now?*
Are you currently homeless?*
- Yes
- No
Are you currently employed?*
- Yes
- No
Have you ever been in a Transitional Housing Program before?*
- Yes
- No
Comments
This field is for validation purposes and should be left unchanged.