• CLP Application Revised 1/2023

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  • Application for Admission for Residential CLP Services

    NYEP is an independent living facility exclusively for individuals aged 18 and above (under 18 from WCDSS on approval). Our agreements are crafted directly with the youth themselves. We encourage applications and interviews to be conducted with the youth to ensure their active participation in the process from start to finish.
  • Our Reasoning: NYEP's commitment to adhering to these strict eligibility criteria is rooted in our desire to provide a supportive and welcoming environment for the young individuals we serve. By clearly defining our criteria, we aim to avoid situations where youth who may not be appropriate candidates are later faced with rejection.

    If you are referring a young person to our program, kindly review the eligibility criteria and requirements provided below to assess their suitability as an applicant. If they meet the criteria, please guide them to our application link and encourage them to complete the application independently, if possible. In cases where internet access is unavailable, you may provide them with a printable copy of the application, accessible [here], and forward it to monica@nyep.org.

    We warmly welcome supportive adults to accompany prospective residents on facility tours.

    Your understanding and cooperation in adhering to this process are greatly appreciated. Thank you.

    Before Proceeding with Your Application for NYEP's Community Living Program (CLP):

    It is essential to familiarize yourself with the program's strict eligibility criteria and expectations outlined below. Please review this information carefully to ensure an informed decision when considering the submission of your application.

    Eligibility Requirements:

    To qualify for NYEP's housing programs, applicants must meet the following criteria:

    Demographics:

    Identify as female
    Be between the ages of 18 and 24

    Housing Status:

    Be homeless or at-risk of homelessness

    Family Situation:

    Not be pregnant or plan to become pregnant
    Not have children in their custody

    Substance Use and Mental Health:

    Not use drugs or alcohol
    Not exhibiting signs of current psychosis 

    Support and Transition:

    Need extra support to transition to a safe and stable adulthood

    Physical and Mental Capability:

    Be physically and mentally capable of participating in programming, attending an education program, volunteer opportunity and employment.

    Commitment: 

    The ability to agree to a program commitment of 12-24 months. 

    Willingness and Capability in Learning Opportunities:

    Show motivation, eagerness, and a genuine desire to acquire the skills and knowledge necessary for independent living.
    Demonstrate openness to learning, adaptability to change, and a positive attitude towards personal growth and development.

    Additionally, youth must show capability in:

    The ability to develop life skills, including financial literacy, time management, communication, problem-solving, and decision-making.
    Prioritization in prioritizing investment in personal growth and skills development over entry level work.  
    Resourcefulness in seeking and utilizing appropriate and available resources to address their needs.
    Self-advocacy by expressing needs and preferences clearly and actively participating in decision-making processes.
    Resilience in the face of setbacks, demonstrating the ability to bounce back from challenges and failures as learning opportunities.

    Program Expectations:

    Upon entry into NYEP's Community Living Program, participation becomes mandatory, and youth are expected to:

    Complete daily chores
    Grocery shop and prepare their own meals
    Maintain a daily-checked email account for correspondence with staff
    Keep and be accountable to a weekly calendar
    Participate in weekly scheduled volunteer service
    Engage in appropriate education programs leading to living wage employment
    Maintain a budget and honor a savings agreement, including reporting finances to NYEP
    Address physical and mental health issues by attending appropriate medical appointments and independently following recommended treatment plans

    While entry to the Community Living Program is optional, meeting these expectations becomes obligatory post-entry. Please consider these criteria and expectations carefully before submitting your application.

  • I have read and understand all eligibility criteria and program expectations before completing and submitting an application for NYEP’s Community Living Program.
  • If available, please attach the following documents or fax to 1-888-331-0717.

    1. Psycological and/or Behavioral Evaluation

    2. Social History and/or Behavioral Evaluation 

    3. Incident, police and/or court reports for the last 90 days (if applicable).

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  • GENERAL INFORMATION 

  • Date
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  • Date of birth
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  • Name of person filling out application (if different from above): 

    Skip this area if filing this application out for yourself. 

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  • Is the youth available to fill out the application on their own?
  • If no, why?
  • Communication:
  • Are you in foster care?
  • Where are you currently living?
  • In previous living situations have you ever come in contact with the following? (check all that apply):
  • Are you currently pregnant?
  • Do you have children?
  • Have you ever been convicted as a crime as an adult?
  • Are you currently on probation?
  • Were you previously on probation?
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  • Refferal information: (List the contact that reffered you to our program, if applicable)

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  • Alternative Contact Information: (This information is being collected to assist us in locating you in the event that you move or are living temporarily in another location. List contact that is heling you through this process, if applicable.)

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  • Emergency Contact Information

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  • WELLNESS

  • Do you have Medicaid?
  • Do you have private insurance?
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  • Do you receive SSI/SSDI?
  • Do you have a payee for your SSI/SSDI?
  • Which of the following describes your general emotional state?
  • Is your family:
  • Is your social network:
  • Have you ever had a mental health diagnosis?
  • Do you currently have a therapist?
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  • Do you currently have a psychiatrist?
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  • Please list all prescription medication that you take.

  • SUBSTANCE ABUSE

  • Have you ever been in a treatment program for substance abuse?
  • Do you drink alcohol?
  • Do you currently use drugs?
  • Do you smoke cigarettes?
  • Do you have issues with alcohol and/or drug addiction that you feel may affect your ability to participate in the program?
  • EDUCATION, EMPLOYMENT & VOLUNTEER HISTORY

  • Have you obtained any of the following?
  • What best describes your current education status?

  • If not enrolled in school, are you interested in enrolling in school?
  • What best describes your current employment status?
  • If not employed, what is your primary source of income?

  • Do you currently volunteer?
  • Do you have a savings account?
  • Do you have a checking account?
  • PERSONAL GOALS

  • What do you feel that we can help you with?

  • Are you willing to participate in a certificate or workforce development program?
  • WILLINGNESS

  • Are you willing to follow the rules set forth by NYEP?
  • Are you willing to sign and adhere to a Program Agreement?
  • Are you willing to keep your word?
  • Are you willing to solve problems with peers in a calm, constructive and respectful manner?
  • Are you willing to participate respectfully in activities and complete tasks or jobs with people you may not like?
  • Are you willing to spend 9-18 months in an independent living program?
  • Are you willing to react and respond appropriately to criticism?
  • Are you willing to attend 5-10 hours of structured programming weekly, in addition to personal commitments such as work and school?
  • Are you willing to volunteer regularly?
  • Are you willing to communicate respectfully with peers and authority figures even if you do not like them or agree with what they are saying?
  • Are you willing to complete daily chores?
  • Are you willing and able to express your needs in a clam and respectful manner, without violence?
  • Are you willing to abstain from using drugs and alcohol at all times while living at NYEP, whether you on property or not?
  • Are you willing to avoid pregnancy while at NYEP?
  • Are you willing to follow directions from staff?
  • Do you have a problem being corrected when you're not following the rules?
  • Are you willing to transport yourself to appointments (walk or take the bus)?
  • Are you able to manage your emotions in upsetting situations without acting out, making others uncomfortable, or causing safety issues for yourself or others?
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