HFY Family Assistance Application FY25

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****Please note that we budget for assistance on a per month basis, so it may take up to a month for us to give you a response for your request.****

As an organization, Horizons for Youth will have a separate and limited Horizons for Youth Family Support Program:

Families who have more intensive needs will be eligible to apply for the Horizons for Youth Family Support Program, based on financial needs, unemployment or loss of significant wages, medical, or housing and other transitional needs.

Horizons for Youth will assess the family's application based on the following criteria: demonstrated need, efforts in proactively seeking external resources, willingness to take steps toward future stability and growth, and level of engagement in Horizons for Youth programming.

Enhanced resource development and delivery can and will be directly influenced by family feedback through surveys, workshops, parent cafes etc.

If you are experiencing a need for assistance, please use the following form to help give a breakdown and to provide clear insight. Not all requests will reach a level of approval but all requests will be given the time and consideration to provide alternative solutions for well-being.
After submission, a Horizons for Youth staff member will contact you based on your request.
Thank you for your Partnership!

Name *

Phone Number *

Email *

Is this your first time applying for assistance in the last 12 months? *

Yes

Other:

Required

Please select your Program Manager *

Jamal (ENVISION)

Raven (EMPOWER)

Fran (EXPLORE)

HS (Nicole)

12th-Post-Secondary (Teri)

Other:

Please categorize your current need for assistance *

Medical or health (myself, family member, child)

Food

Housing

Unemployment or loss of wages

High School Grant of $150 for school and academic fees

Academic supplies (technology, materials, childcare)

Other transitional support

HFY specified opportunity

Other:

Required

For HS grant, please include details on how $150 payment should work--how to pay, contact name and contact email. *

For non-HS grant, how much do need? *

Please describe your area of need at this time. Please include details about what has impacted you, what is your current need, and how this assistance will help you to get back to a road of progress. Please specify timeline or amounts. *

Please select areas which you would like support *

I would like to get connected to other programs in addition to Horizons for resources to fulfill my needs

I would like more information and education from HFY and my Program Manager to help prepare myself for future need

I need assistance as my living conditions are affected: food, shelter, clothing, safety

I have other needs that are affecting me

Required

What resources have you recently tried in an attempt to solve on your own? *

I have made my Program Manager aware of my dilemma by mentioning in previous monthly Check-ins

I have asked my program manager for help and guidance

I have contacted staff or teachers at my child's school for assistance

I have called or visited other local or state programs and resources

I have communicated my needs with my personal network of support (family, church, neighbors, etc)

Required

Please share in more detail the outcomes of the steps you have already taken to improve this before reaching this point. What other external resources have you applied for the resource (government assistance, assistance from school, applications for support from other non-profit organizations, or other assistance you have sought)? *

Comment on your current engagement in Horizons for Youth programming (parent workshops/cafés attendance, communication with Program Manager, fulfilling contract requirements). *

In the case you are not granted assistance, what will you do in case of further emergency? *

If granted assistance, what steps will you take for the future to ensure that you will have increased stability and growth so you do not need assistance with this resource in the future? *

Submit

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