Each referring partner must use this Youth Academy Client Referral Form to refer a client to a participating social enterprise/transitional employment provider and the LA:RISE Youth Academy program. Once each form is submitted, two confirmation emails will automatically be sent: one to the Youth Partner case manager for their records and one to the social enterprise staff to make them aware of the incoming referral and can follow up. To help screen the participants we have included the eligibility requirements for the Youth Academy here:

• 18-30 years of age
• City of Los Angeles Resident http://neighborhoodinfo.lacity.org/
• Currently Homeless or At-Risk of Homelessness (HUD definition)
  • Lack a fixed, regular, and adequate nighttime residence
  • Has a primary residence that is a public or private place not meant for human habitation (including in an automobile)
  • Is living in a publicly or privately-operated shelter designated to provide temporary living arrangements (including congregate shelters, transitional housing, and hotels and motels paid for by charitable organizations or by federal, state and local government programs)
  • Is exiting an institution where the individual has resided for 90 days or less and who resided in an emergency shelter or a place not meant for human habitation immediately before entering that institution
  • Imminent Risk of Homelessness, defined as an individual or family who will imminently lose their primary nighttime residence, provided that: (i) residence will be lost within 14 days of the date of application for homeless assistance; (ii) No subsequent residence has been identified; (iii) the individual or family lacks the resources or support networks needed to obtain other permanent housing
  • Homeless under other Federal Statues, defined as unaccompanied youth under 25 years of age, or families with children and youth, who do not otherwise qualify as homeless under this definition, but who: (i) Are defined as homeless under the other listed federal statutes; (ii) Have not had a lease, ownership interest, or occupancy agreement in permanent housing during the 60 days prior to the homeless assistance application; (iii) Have experiences persistent instability as measured by two moves or more during the preceding 60 days and (iv) Can be expected to continue in such status for an extended period of time due to special needs or barriers
  • Fleeing/Attempting to flee domestic violence, defined as any individual or family who: (i) is fleeing, or is attempting to flee, domestic violence, dating violence, sexual assault, stalking, or other dangerous or life-threatening conditions that relate to violence against them; (ii) Has no other residence; and (iii) Lacks the resources or support networks to obtain other permanent housing
  • Residing in Subsidized Housing: rapid rehousing, time-bound rental subsidy
• Unemployed or underemployed (working less than 20 hours a week)
• Interested in long term employment or certified training program

Please use page 2 of the following program flyer to determine the best LA:RISE Partner to refer the client: