PATHS is a Housing First program for youth between the ages of 17-21 who have experience in the child welfare system and are without housing or at risk of being without housing. PATHS serves the following counties: Adams, Forest, Langlade, Lincoln, Marathon, Portage, Oneida, Vilas, and Wood.
Please provide the following information for yourself and organization:
Name of Organization
Address of Organization
Street Address Line 2
State / Province
Will you need a Release of Information form?
Please provide the following information on the youth being referred:
Date of Birth
Pronouns (check all that apply):
Is this youth currently in a safe, permanent housing situation?
Is this youth without housing or at-risk of being without housing?
Please provide current housing situation if known:
Are there any safety concerns for this youth or staff? Please explain:
Please list any factors that may trigger this youth and should be limited/avoided when working with them:
Please list any other information that will help PATHS understand this youth's current situation:
Please list any housing challenges that may arise for this youth:
Please provide past/current child welfare experience, if known:
Should be Empty: