Side by Side Host Home Program Host Application

Side by Side Host Application
Thank you for applying to be a part of our Host Home program. We are so grateful you’d consider opening your home to a young person in need of stability, and we couldn’t run this program without generous volunteers like you. As you go through the application, please keep in mind these questions are not intended to keep applicants out of the program. No matter what your answers are, we are open to having a conversation about your interest as a host home. Thanks!
Applicant 1 *
Applicant 1
Applicant 1 Phone *
Applicant 1 Phone
Applicant 2 (if applicable)
Applicant 2 (if applicable)
Applicant 2 Phone
Applicant 2 Phone
Are you interested in *
What's your ideal length of stay for a youth? *
You can change this at any time
Address *
Address
Which best describe your home? *
References
Please list three references and their contact information.
Reference #1 *
Reference #1
Phone *
Phone
Reference #2
Reference #2
Phone
Phone
Reference #3
Reference #3
Phone
Phone
Creative Assignment
Please create a presentation about yourself, your family and community, some of your life experiences, strengths, etc. Create with a young person in mind as the audience. The purpose of this is for them to get to know you a bit, find out why you want to be a host, and see if you might be someone they would like to live with. In addition, this will help the Host Home Coordinator have a better sense of you as a potential host. Poems, letters, drawings, songs, videos, and other types of expression are welcomed. Please submit to CasSandra.Calin@sidebysideva.org

Please continue to our “Getting to Know You” page for part 2 of the host home application