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

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  • 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

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