I, {name} agree to participate in the program from Los Angeles County called, "My First Place."
My First Place, is a program for the youth of Los Angeles County who are 18-26 years of age and are at risk of homelessness or housing insecurity.
I affirm that I or my family is experiencing any or all of the following:
-Homelessness
-Housing Insecurities
-At major risk of experiencing homelessness
-At major risk of experiencing housing insecurities
-Living in a car
-Living in a temporary space
-Will use the grant money for a primary place of living