Application | TGP 2024

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TGP Housing application

THE TEXAS GREENHOUSE PROJECT INDEPENDENT LIVING APPLICATION

THE PURPOSE of this application is to assess the eligibility and needs of LGBTQIA+ young adults between the ages of 19-24 aging out of foster care and group homes for enrollment in a Supervised Independent Living program, designed to facilitate their transition towards self-sufficiency and independent living.

DIRECTIONS: Please complete this application with accurate and detailed information to help us understand your needs and eligibility for the Supervised Independent Living program. Fill in all sections, providing explanations where necessary, and attach additional pages if more space is needed. It's important to answer all questions thoroughly, as this information will be critical in tailoring the program to support your successful transition to independent living.

To be completed by the assigned caseworker or youth applicant:

YOUNG ADULT'S INFORMATION

Date

First name

Last name

What is your preferred name?

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Phone

Personal Identification (Select all that apply)

State Issued I.D.

Original Birth Certificate

Original Social Security Card

Health Insurrance Card

Permanent Residence Card

None

EMPLOYMENT/EDUCATION INFORMATION

Are you still in high school?

Yes

If yes, what grade are you currently in and when will you graduate?

Are you in a GED program?

Yes

If yes, what program and when are you expected to finish?

Are you currently attending a college, university, or vocational/training program?

Yes

If yes, what program, where are you attending, and when are you expected to finish?

Are you currently working?

Yes

If yes, where are you working and how many hours per week?

REQUESTS, NEEDS, OR ACCOMMODATIONS

Do you have any specific needs, requests and or accommodation, such as a wheelchair, for an SIL setting?

INDEPENDENT LIVING SKILLS

On a scale of 1 to 5, check how confident you are with performing the following task. Note: 1 is not confident and 5 is extremely confident. Also, indicate your experience with each task.

Cooking

Cleaning

Budgeting

Sharing a room/house

Findng your own transporaton

Scheduling your own medical appointments

Managing your work/school schedule

Respecting house expectations

FUTURE GOALS & PLANS

What are your long term goals? (Minimum 140 characters)

If you desire an EDUCATION, what is your educational goal? How do you plan on accomplishing it?

If you desire to be EMPLOYED, what is your employment goal? How do you plan on accomplishing it?

What goals do you have for the next three years? How do you plan to accomplish them?

Is there anything that would hinder you from being accepted in the program? If so, do you have a plan of action to address that need?

ACKNOWLEDGMENTS

I do hereby acknowledge that the information in this document is true to the best of my knowledge. Furthermore, I authorize the Texas Greenhouse Project to release this document and other relevant information to others only for the purposes of determining my eligibility for the Independent Living Program.

Youth or Young Adult: Full Legal Name

Date

Thank you! We’ll be in touch.

Disrupting and destroying the foster care to prison, homelessness, & trafficking pipeline for LGBTQIA+ young adults between the ages of 19-24

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