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Mission
Impact
Programs
Press
Team
Contact
Volunteer
GIYF Apparel
Donate
GIYF Resident Application
Please complete the form below
Name
*
First Name
Last Name
Email
*
Birthday
*
MM
DD
YYYY
Phone
(###)
###
####
Facebook Messenger Name
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
(###)
###
####
Independent Living Case Manager Name
*
First Name
Last Name
Independent Living Case Manager Phone
(###)
###
####
Independent Living Case Manager Email
Education/Job Status (Check One)
*
I am still in high school working on my diploma
I am working on my GED
I am enrolled in college or technical school
School Name
Grade
Field of Study
Funding Status (Check One)
*
I have a full time job
I have a part time job
I am on extended foster care
I am on aftercare
I am on PESS
None of the above
If you are employed: List employer, location, and brief job description
I was in foster care in the following county: (check the one that you report to Independent Living Services in)
*
Hillsborough
Pasco
Pinellas
Sarasota/Manatee
Polk
Other (please list below)
Other county
By choosing to live at Oak House, I understand:
*
Checking these boxes signifies your agreement to these statements. All boxes must be selected for your application to be considered.
I agree that if I am unable to resolve a conflict with another resident of Oak House, I will reach out to GIYF staff for help.
I agree that I will accept and follow GIYF's decisions regarding conflicts in which I am involved.
I agree that I am entering into a home established on the principles of Grow Into You Foundation.
I agree that the aim of Oak House is to help me form good habits for independent living as an adult.
I agree that I will be accountable for my decisions.
I agree that I will have opportunities to learn new skills and strengthen skills I already have.
I agree that everyone who lives in and visits this house has a right to feel and be safe while they're here, myself included.
I agree that Oak House is a drug and alcohol free establishment.
I agree that one of the goals of Oak House is to help me build relationships with my community.
I agree that I will be required to stay enrolled or keep a full time job in school in order to be eligible to live in Oak House.
I agree that coaching with GIYF is a requirement of living in Oak House.
I agree that I am strongly encouraged to take advantage of the opportunities and events offered to me through Oak House.
I agree that it is my choice to live in this house and that by choosing to live here I am choosing ownership of the guidelines, standards and responsibilities that come with living at Oak House.
Hobbies: What do you already like AND what are you interested in learning more about?
*
Check all that apply
Cooking
Football
Hanging out with friends
Basketball
Video games
Running
Riding bikes
Listen to music
Soccer
Watch TV and movies
Exercise
Drawing/painting
Baseball
Playing an instrument/singing/rapping
Rap battles
Board games
Making things
Being outside
Dancing
Puzzles
Fishing
Learning a foreign language
Volunteering
Podcasting
Creating YouTube Videos
Poetry
Fishing
Hiking
Bowling
Martial Arts
Writing
Skills: What do you feel like you still need to learn or could get better at?
*
Check all that apply
Being mentored by an adult one on one
Budgeting my money
College applications
Filling out government forms (like taxes or voter registration)
Studying
Basic first aid
Driving license
Conflict resolution
Spiritual Growth
Need support while completing probation requirements successfully
What do you hope your life at Oak House is like?
*
What is your biggest struggle?
*
What is your greatest strength?
*
What do you want to accomplish in the next 12 months?
*
This is your chance to tell us about anything we haven't already covered!
Thank you!