Runaway and Homeless Youth Services (RHY) Referral Form Logo

  • Runaway and Homeless Youth Services (RHY) Referral Form

  • Service Information

    Please read service information below for program information and eligibility

  • United Action for Youth (UAY) Runaway and Homeless Youth (RHY) Programs provide services and support to youth experiencing homelessness.

    RHY Program Services include:

    • Street Outreach Program (SOP) 
    • Transitional Living Program (TLP)
    • Maternity Group Home (MGH) 

    RHY Program Eligibility:

    • Unhoused/Homeless Youth ages 12-22
      • SOP - ages 12-22
      • TLP - ages 16-22
      • MGH- ages 16-22
    • Unhoused/Homelessness is defined as the condition of lacking stable, safe and functional living space/housing.  This generally includes living on the streets, moving between temporary accomodations such as family or friends, or living in sutuations with no security of tenure

    RHY Program Services Areas:

    • RHY service area includes the following Counties within Iowa:
      • Cedar (MGH, SOP and TLP services)
      • Johnson (MGH, SOP and TLP services)
      • Washington (MGH, SOP and TLP services)
      • Iowa (TLP services only)
      • Muscatine (MGH and TLP services only)

    RHY Program Services include:

    • Outreach services (SOP services only)
    • Supportive Residential Services (MGH and TLP services only)
    • Aftercare services (MGH and TLP services only)
    • Coordinated case management and advocacy (MGH, SOP and TLP services)

     

    To Complete Referral Form Click the next button below to continue

     

  • Referring Person's Information

    Please complete your information below

  • Referral Information

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  • General Information

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  • Dependent Care Situation

  • Dependent Care Information

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  • Additional Information

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  • RHY Program Sort Criteria

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  • Sort Criteria

  • Thank you for taking the time to complete RHY Program Referral Form

    Please click submit button below to submit the referral.  If you need immediate

    assistance please contact the UAY Eastdale office at 319-338-7518 or

    SOP@unitedactionforyouth.org.

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