FYI TPV (Foster Youth to Independence Tenant Protection Voucher) Interest Form

FYI TPV (Foster Youth to Independence Tenant Protection Voucher) Interest Form

The FYI-TPV program is a national housing voucher opportunity designed to support young adults who were involved in or are exiting the foster care system in the US and are facing housing insecurity. The ESTA Program at Eliada Home supports young adults in Buncombe County who are eligible for this initiative with obtaining vouchers and securing housing. If you believe you may qualify for the FYI-TPV program, please complete this form. After the form is submitted, a member of our team will contact you to discuss next steps. Please note, this form does not equal an application to our ESTA program, ESTA program applications must be submitted separately and can be found on our website.
Full Given Name*

First NameLast Name
Preferred Name
Preferred Pronouns*

She/HerHe/HimThey/ThemOther
If other, please share:
How old are you right now?*
What is your date of birth?*

MonthDayYear
Date
What is the best phone number to reach you on? If you do not have a phone number, please list the number of a case manager or another trusted person we can contact on your behalf.*
Please enter a valid phone number.Format: (000) 000-0000.
What is the best email to reach you at?
example@example.com
What is your Social Security Number? (optional)
Were you ever involved in foster care?*

YesNoI am currently in foster care and will age out when I turn 18
If you are currently in foster care, will you turn 18 in the next 3 months?

YesNoI am not currently in foster care
If you were involved in foster care or are currently, how long were you/have you been in foster care?*

Less than a year1-2 years3-5 yearsMore than 5 yearsI don't know
Were you in foster care in North Carolina?*

YesNo
If you were involved in foster care in North Carolina, were you/are you in foster care in Buncombe County?*

YesNoI don't knowI wasn't in foster care in North Carolina
If you were/are involved in foster care in North Carolina but not Buncombe County, what counties in North Carolina were/are you involved in?
If you were not involved in foster care in North Carolina, what State(s) and counties were you involved in foster care in? Please be as specific as possible, this will help our team verify your eligibility.
What city do you currently live in? *
Please select the option that fits your housing situation the best:*

I currently sleep outside, on the streets, in a car, in a tent, in a camper or shed with no running water, etc.I currently sleep in a shelter or transitional housing programI currently sleep in a hotel that I pay forI currently sleep in a hotel that someone else pays forI currently sleep at a friend's or family member's house but I have to be out within 14 daysI currently sleep at a friend's or family member's house and I can stay here for as long as I need to until I find housing
Have you moved around 2 or more times in the last 60 days?*

YesNoI don't know
Have you had a housing or apartment lease in your name in the last 90 days?*

YesNoI don't know
Is your current housing need because you are/were fleeing a domestic violence or intimate partner violence situation?

YesNoI don't knowI prefer not to share
If yes, you are currently fleeing DV/IPV, is there anything we should know before we contact you? (Example: don't leave voicemails, only text, etc.)
Do you currently receive income of any kind? (This includes $810 from 18-21 program)*

YesNo
If you currently receive any form of income, how much do you make a month? Try to be as specific as possible.
Is there anything else you would like us to know about you that would help us confirm if you are eligible or not? If you are a service provider filling this form out on an individual's behalf, is there anything we should know before we contact them?
Should be Empty: