THRIVE

Serving Former-Foster & Under-Resourced Young Adults

Donate

THRIVE APPLICATION

Thank you for your interest in our T.H.R.I.V.E. Program.

Founded in 2016 as a transitional home for young men emancipating out of foster care, our program has now expanded to two separate housing locations in Fullerton for young men and women.

Most Transitional Age Youth (TAY) programs cut off abruptly upon turning 21 years of age. What sets us apart is we don’t. We aim to fill in the gap for young adults who don’t qualify for traditional programs and other mainstream services.

Our T.H.R.I.V.E. Program offers (1) housing and (2) wraparound support. Our wraparound support is available to both residents and non-residents of T.H.R.I.V.E. housing, and includes individualized case management, life skills training, educational support, and therapy. For more information about our Program, visit www.ocunited.org/thrive.

Questions? Email thrive@ocunited.org

To ensure you are a good fit for our program and vice versa, we ask that you complete all steps of our application process outlined below.

Completion of these steps does not guarantee an applicant acceptance into the housing portion of our program. Upon completion of the application process, OC United’s T.H.R.I.V.E. team will contact you directly with our formal decision and, if accepted into our housing, provide you with a tentative move-in date.

Application Process:

  1. Submit T.H.R.I.V.E. Application Form & supplemental questionnaires to thrive@ocunited.org
  2. Initial phone call with OC United’s Intake Coordinator
  3. In-Person interview with OC United’s T.H.R.I.V.E. team
  4. Background & reference checks
  5. Mental health screening (in-person or via Zoom) with OC United’s contracted therapist
  6. Applicants may be asked to participate in a second interview (in person or via Zoom)

APPLICATION

This application takes 20-30 minutes to complete. If you would like to save your progress and return to the application later, scroll down to the bottom and click “Save & Continue Later”.

CONTACT INFORMATION

Name(Required)
Date of Birth(Required)
Gender
*not required

Race / Ethnicity
Select all that apply
Address
Email(Required)

EMERGENCY CONTACT

Name

SUPPORT SYSTEM

Who is in your current support system?(Required)
Do you have friends or family who can help when you need it?(Required)
Do you have people to talk to about your problems?(Required)
Marital Status

Are you in a relationship in which you have been physically hurt, felt threatened, or been controlled by someone else?(Required)
Do you have any children?(Required)
If you answered "no", please continue to the next section.
If yes, please list their name(s), age(s), and gender(s).
Name
Age
Gender
 
Do you have childcare that meets your family's needs?

CHILD WELFARE HISTORY

At any time prior to age 18 were you in foster care, or were you a ward or dependent of the court?(Required)
If you answered "no", continue to the next section.
Do you currently have an open case with the Department of Children & Family Services?
If yes, which county?

Estimated case closing date?
If the case was closed, when?
Social Worker's Name:
Please enter a number from 0 to 24.
At any time prior to age 18 were you adopted or in a legal guardianship as determined by the court?

At any time since age 18 did you participate in California's AB12 - Extended Foster Care Program?

HOUSING

Are you currently homeless or at risk of being homeless?*(Required)
Describe your current living situation:(Required)

EDUCATION

Highest Education Level Completed:(Required)
Are you currently enrolled in a college, trade, or vocational school?(Required)
If you answered "No", skip ahead to the next section.
Enrollment Status:
Expected Graduation Date:
Are you receiving any special education or accommodation services?
Have you ever completed a Free Application for Federal Student Aid (FAFSA) or California Dream Act Application?
Are you receiving any of the following?

EMPLOYMENT & INCOME

Employment Status:

Are you authorized to work lawfully in the United States?
Employer / Company Address:
Please enter a number from 0 to 80.
Are you employed at the level you would like to be?

List other sources of income:
Income Source
$ / month
 
Do you have any credit card debt?
Do you have any credit problems?
Are you receiving any government assistance?
Does your income cover your monthly expenses?
Do you ever worry about having enough food for yourself or your family?
If unemployed, when was your most recent date of employment?

TRANSPORTATION

Do you have reliable transportation?(Required)
What is your primary means of transportation?(Required)

If you selected "car", do have or own your own car?
If you selected "car", do you own or rent the vehicle?
If you selected "car", do you have a Drivers License?
If you selected "car", do you have Car Insurance?

MEDICAL INFORMATION

Do you have health insurance or access to regular medical and dental care?(Required)
If you do not have allergies, type "none"
Do you require an epi-pen?(Required)
Medications:
Name
Dosage
Frequency
 
Do you currently experience any of the following ACE-associated health conditions?(Required)
check all that apply
Do you have a history of the following ACE-associated health conditions during childhood?(Required)
check all that apply
Are you being treated by a specialist for a medical condition?

MENTAL HEALTH

Are you currently seeing a therapist?(Required)
Have you seen a therapist in the past?(Required)
Are you currently being treated by a psychiatrist?(Required)
Have you ever been hospitalized for a mental health reason?(Required)
Do you have a history of suicidal ideation?(Required)
Have you ever attempted suicide?(Required)

SUBSTANCE USE

Do you use marijuana?(Required)
Do you drink alcohol?(Required)
Do you use any other drugs or substances?(Required)

CRIMINAL BACKGROUND

Have you ever been arrested or convicted of a crime?(Required)
Please note, you are required to submit a background check as a condition of acceptance into the THRIVE Program, unless certain conditions exist which prevent you from doing so and are discussed with OC United's THRIVE team.

REFERENCES

Reference #1 Name:(Required)
Reference #2 Name:
Reference #3 Name:

AUTOBOGRAPHY

SIGNATURE & RELEASES

By entering or signing my name below, I certify that every statement I have made in the application is true and complete to the best of my knowledge. I understand that any false or incomplete information may be grounds for disqualification from OC United's THRIVE program or from dismissal after the reception of services. I understand that I will have to produce documentation verifying my identity including (but not limited to) a valid Government Issued ID, Driver's License, and/or Birth Certificate. I understand that I may be required to verify any and all information given in this application. I understand that this completed application is the property of OC United and may not be returned. I understand that I will be required to submit a background check as a condition of acceptance as a THRIVE Program participant, and that unsatisfactory results, refusal to cooperate, or any attempt to affect the results of these background checks will result in my removal as an applicant or program participant. I authorize you to contact the references and emergency contact(s) named on this application, as well as any relevant persons or organizations that may have information about me, and for them to share all relevant information with OC United regarding my personal history, character, and appropriateness for this program. For non-minor dependents, I authorize OC United to release all relevant information to the assigned county social worker and/or probation officer regarding my progress in the program as requested. I understand that submission of an application does not guarantee acceptance into OC United's THRIVE Program. I understand that my participation is completely voluntary. Should OC United extend an offer to me as a participant, it is for no specific duration and may be revoked by either OC United or myself at any time, with or without cause. If accepted into the program, I agree to conform to the rules, regulations, policies, and procedures while residing in OC United's THRIVE housing. I understand that such compliance is a condition of my status as a program participant.
Clear Signature
Your Full Name(Required)
Date Signed(Required)
Clear Signature
Witness Name(Required)
Date Signed(Required)

TAKE ACTION