READ BEFORE YOU APPLY:

The HWYM program is only available for participants between the ages of 13-35 years of age.
The HWYM program does provide subsidy payments for housing, childcare, etc. Funds are issued based on financial need and funds availability.
- However, there is a thorough approval process that involves an in-depth financial review and monthly submission of pay stubs and bank statements.
The HWYM program does not issue any subsidy payments during the probationary period (the first 90-days) of the program.
The program is currently at capacity and is operating from a waitlist. HOWEVER, you should still apply anyway and be sure to schedule your first intake interview.

Contact Information

Full Name *

Phone *

Email *

Preferred Contact Method:

Address

Street Address

City

State

Country

Postal code

How did you hear about the program? *

Who were you referred by? Provide Name.

Birthday *

I’m interested in: *

Current Status & Goals

1. Which option describes your current employment status? *

Select One

2. Which of the following best describes your current season of life? *

Select One

3. Are you willing and able to show up weekly for yourself and your future? *

Select One

4. Are you open to being coached and receiving feedback to help you grow? *

Select One

5. Can you commit to attending an in-person session twice per month? (Every 2nd and 4th Monday from 7-9pm) *

Select One

What are 2–3 things you hope to accomplish in the next 6–12 months?

Examples: finish school, get a new job, build savings, improve confidence, find stable housing, grow in faith, etc.

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