• Community Living Program Application for Admission

    Revised 7/2026

  • Before You Apply

    Thank you for your interest in NYEP's Community Living Program (CLP). Applying to the Community Living Program is more than completing an application; it's expressing your willingness to invest in yourself and commit to meaningful personal growth. Our Community Living Program is designed for young women who are ready to build the skills needed to live independently, maintain healthy relationships, participate successfully in work and community life, and create a stable future for themselves. 

    This is not a program where you are expected to arrive already knowing how to do everything. It is a program where you are expected to arrive with a willingness to learn, practice, and grow. Many of the questions throughout this application ask about your willingness, not because we expect perfection, but because willingness is where lasting change begins. You may not yet know how to communicate respectfully during conflict, or how to work alongside someone you wouldn't naturally choose to spend time with, or struggle with routines, or follow through on commitments, or manage your emotions, budget your money, ask for help, or believe in yourself. That's okay. 

    Our job is to teach those skills, coach you through them, support you emotionally when they're difficult, and create opportunities for you to practice them every day. Growth is rarely comfortable. There will likely be awkward moments, frustrating days, setbacks, and times when you'll question yourself. You may grieve old habits, feel uncertain about who you're becoming, worry about making mistakes, or feel tempted to return to what's familiar simply because it's easier. Those experiences are a normal part of becoming an independent adult. We'll be there to guide you through them, not rescue you from them. What we cannot do is build skills for someone who isn't willing to practice them. Once you submit your application, complete your interview, and accept placement into the program, our expectations become active. 

    By accepting a place in the Community Living Program, you are making a commitment to actively participate in your own growth. That means making a genuine effort to:

    • Follow program rules and the Program Agreement you sign.
    • Participate in 10–20 hours of structured programming each week in addition to your work, school, or other commitments.
    • Attend scheduled meetings, appointments, and activities.
    • Communicate respectfully with staff and peers, even when you're frustrated or disagree.
    • Work calmly and constructively through conflict.
    • Participate respectfully in activities and complete jobs with people you may not choose as friends.
    • Take responsibility for your choices.
    • Practice the skills you're learning, even when they're uncomfortable.
    • Accept feedback with an open mind and continue trying after setbacks. 

    As a participant, you'll also be expected to gradually build the practical habits that support long-term independence, including:

    • Maintaining your living space and completing daily household responsibilities.
    • Grocery shopping and preparing meals.
    • Managing your calendar and appointments.
    • Communicating regularly by email and phone.
    • Participating in volunteer service, employment, education, or job training.
    • Learning to budget your money and build savings.
    • Attending healthcare appointments and following recommended treatment plans.
    • Contributing positively to the community you live in. 

    Real life doesn't always give us ideal circumstances. We all have to work with people we wouldn't choose, follow rules we didn't create, and complete responsibilities we don't always enjoy, wait for things we want, hear feedback we'd rather avoid, and keep commitments after the excitement wears off. These aren't just program expectations. They're life skills. The ability to remain respectful, reliable, adaptable, and responsible, even when life feels difficult, is what creates opportunities in employment, education, housing, friendships, and independence. Without these skills, life often becomes harder. With them, doors begin to open. When you do your part, we do ours. We'll teach, coach, and encourage. We'll support you emotionally through the uncomfortable parts of change. We'll hold you accountable with respect, and we'll celebrate your progress. 

    We don't expect perfection. We expect participation, honesty and effort. We expect a willingness to keep practicing, even after a difficult day or a mistake…because that is how lasting change happens. If you show up, stay open, accept feedback, and keep trying, we believe you'll accomplish things that may have felt out of reach before. Over time, you'll build confidence, strengthen your relationships, become more dependable, and discover that you're capable of far more than you imagined.

    Is This Program Right for You?

    The Community Living Program is designed for young women who:

    • Are 18–24 years old.
    • Reside in Northern Nevada or are willing to relocate.
    • Desire support in becoming independent.
    • Are physically and mentally able to participate in employment, education, volunteer work, and daily living activities.
    • Are committed to remaining drug- and alcohol-free throughout the program.
    • Are not currently pregnant, planning a pregnancy, or parenting children while participating in the program.
    • Are prepared to commit to the program for approximately 9–24 months.
    • Are willing to actively participate in learning, practicing, and growing, even when growth feels challenging.

    If you're looking for a place that will lower expectations so you never feel uncomfortable, this may not be the right program for you. If you're looking for a place that believes in your potential, will challenge you with care, support you through setbacks, and teach you the skills needed to build a stable, independent future, we would be honored to walk alongside you.

    The future isn't built in one big moment. It's built one choice, one conversation, one responsibility, and one kept commitment at a time. If that sounds like the future you want to create, we look forward to reviewing your application.

    The NYEP Team

  • I confirm that I have thoroughly read and fully understand the eligibility criteria and program expectations. I acknowledge that these criteria and expectations are non-negotiable and agree to them before proceeding with my application for NYEP's Community Living Program.

  • Section 1: Applicant Information

  • Are you completing this application for yourself?*
  • Date*
     - -
  • Date of Birth *
     - -
  • Format: (000) 000-0000.
  • Do you currently live in Northern Nevada?*
  • What is your current living situation?*
  • Are you in foster care?*
  • Have you ever been in foster care?*
  • Aged Out | Date aged out:
     - -
  • Are you currently receiving any social services or case management?*
  • In previous living situations have you ever come in contact with the following?*
  • Are you currently pregnant? *
  • Do you have children?*
  • Have you ever been convicted of a crime?*
  • Have you previously been on probation or parole?*
  • Are you currently on probation or parole?*
  • Format: (000) 000-0000.

  • Alternative Contact Information:

    (This information is being collected to assist us in locating you if you move or are living in a temporarily in another location. List the contact that is helping you through this process, if applicable.)
  • Format: (000) 000-0000.

  • Emergency Contact Information:

  • Format: (000) 000-0000.

  • Section 2: Referral Information

    (List the contact that referred you to our program, if applicable)
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Is the youth available to fill out the application on their own?
  • If no, why?
  • Expected release date:
     - -

  • Section 2: Applicant Wellness

  • Do you have Medicaid?*
  • If yes, what is your Medicaid Managed Care Plan Provider?
  • Do you have private insurance?*
  • Do you receive SSI/SSDI?*
  • Do you have a payee for your SSI/SSDI?
  • How would you rate your overall health?*
  • Do you have any medical concerns at this time?*
  • Do you have any allergies (food, medication, environmental)?*
  • Do you have any physical limitations or mobility issues that may require accommodation?*
  • Do you have a primary care provider?*
  • Format: (000) 000-0000.
  • Which of the following describes your current mental state?*
  • Is your family:*
  • Is your social network:*
  • Have you ever been diagnosed of treated for mental health conditions?*
  • Do you currently have a therapist or mental health provider?*
  • Format: (000) 000-0000.
  • Do you currently have a psychiatrist?*
  • Format: (000) 000-0000.
  • Are you currently taking any prescribed medications?*
  • Have you ever been in a treatment program for substance use?*
  • Do you drink alcohol?*
  • Do you currently use drugs?*
  • Do you currently smoke or vape? (Select all that apply)*
  • Do you anticipate needing assistance or support for any health or wellness-related issues while in the CLP?*
  • How comfortable are you with managing your own daily health and wellness needs (e.g., medication management, attending medical appointments)?*

  • Section 3: Applicant Education, Employment & Volunteer History

  • Have you obtained any of the following?*
  • What best describes your current education status?*
  • Are you willing to participate in a certificate or workforce development program ?*
  • What best describes your current employment status?*
  • Date hired
     - -
  • If not employed, what is your primary source of income?*
  • Do you have a checking account?*
  • Do you have a savings account?*
  • Do you have/use a financial app (i.e. cash app, chime etc..)?*
  • Do you have any debt?*
  • Do you currently volunteer?*

  • Section 4: Applicant Readiness and Intentions

  • Have you reviewed and do you understand the rules listed in the CLP Resident Handbook?*
  • Are you willing to follow the rules set forth by NYEP?*
  • Are you willing to sign and adhere to a Program Agreement?*
  • Are you willing to keep your word?*
  • Are you willing to to solve problems with peers in a calm, constructive and respectful manner?*
  • Are you willing to participate respectfully in activities and complete jobs with people that you might not like?*
  • Are you willing to attend 10-20 hours of structured programming weekly, in addition to personal commitments such as work and school?*
  • Are you willing to communicate respectfully with peers and authority figures even if you do not like them or agree with what they are saying?*
  • Are you willing and able to express you needs in a calm respectful manner without violence?*
  • While participating in the program, are you ready to commit to staying drug- and alcohol-free to prioritize your personal growth, maintain a clear mind, and fully engage in building a better future for yourself?*
  • Are you willing to transport yourself to appointments (walk or take the bus)?*
  • Are you able to manage your emotions in upsetting situations without acting out, making others uncomfortable, or causing a safety issue for yourself or others?*
  • Are you willing to participate fully completing daily chores?*
  • Are you willing to participate fully completing weekly meal prep?*
  • Are you willing to participate fully in weekly volunteering?*
  • Are you willing to participate fully in education and employment programs?*
  • Are you willing to attend and participate in all health and wellness appointments?*
  • Are you willing to maintain accountability with staff through regular check-ins and status reports as well as provide any requested documentation?*
  • Are you willing to follow program rules and expectations, including construction feedback and guidance from NYEP staff?*
  • Are you prepared to participate fully in a 12-24 month program, including adhering to structure and rules?*

  • Section 5: Applicant Agreement

  • I hereby authorize NYEP to receive information regarding my application and further authorize relevant outside parties to exchange and release personal records regrading my application with NYEP.*
  • I understand that I am requesting to participate in NYEP's Community Living Program, which is a gender specific housing program. I understand that I may be assigned a room with someone of a different biological gender.*
  • I understand that false statements or information are cause for non-acceptance to NYEP's Community Living Program.*
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  • Application Agreement and Signature

    I hereby certify that I have completed this application truthfully and to the best of my knowledge. I understand that the expectations and responsibilities associated with NYEP's Community Living Program and am willing to commit to the program's duration and requirements.
  • Date
     - -
  • Should be Empty: