Program Application 
Fostering Independence is a program created to assist young adults who have aged out of foster care. Our program can support young adults ages 18-24. Our program provides assistance reaching individualized goals through a collaboration of multiple agencies in our area.

The types of assistance we can connect young adults to through our partnerships include:

- Housing
- Mentorship
- Transportation
- Education
- Job Searching
- Financial Assistance
- Medical / Therapeutic
- Clothing
- Food
- Hygiene
- Connection to area resources

If Fostering Independence sounds like a good fit for you, fill out the information below and we will contact you asap.

Please answer honestly, your answers here will not affect your approval or denial into the program, these are only used as a tool to get to know each applicant and help us determine what services you could benefit from most.
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First & Last Name *
Phone Number 
Date of Birth *
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Email Address
Do you have any children? List names and ages of all children and if you have custody of them.
How did you hear about Fostering Independence?
Have you ever applied to our program before?
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