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Independent Living Services

New Alternatives Self Application

We're glad you're here!

You've arrived at the right place to begin your journey toward independence. Our comprehensive self-application form will help us understand your unique needs and goals, allowing us to create a personalized support plan specifically to you. Take your time, be honest, and know that each step you're taking is a positive move toward building the skills and confidence you need to live independently and successfully.

The minimum age is 18 years old and the maximum is driven by your specific needs.

 

First Name *
Last Name *
Best way to contact
Are you currently receiving Medicaid (SSI)
Are you currently receiving SSDI
Check below which area best describes your current living situation

Legal Status

Have you had any criminal activity in the last five years

Physical Health Information

Do you require a handicapped accessible unit or have any health accommodation needs
Do you have any self-harm behaviors
Are you a parent
First Name
Last Name
First Name
Last Name
Females Only: Are you pregnant or is it possible you could be pregnant?

Educational Information

Highest level of education
Are you currently attending an educational program/school
Have you taken any college or trade school classes?
I understand that this program is voluntary and the goal is to help me develop independent living skills to assist in my transition into adulthood.

Additional Support

We proudly partner with the Department of Social Services and various residential and juvenile justice programs to offer advocacy, education, and assistance to empower young people to make healthy choices.
 

If you are a partner and would like more information on the Community Resource Program, REACH, Young Voices, and FORGED please call 605-496-8691.

  • Joshua D.
    Joshua D.

    This place is amazing with very helpful staff!!!

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