RTB Housing Grant Eligibility Application

Important Information

Before you begin, please carefully review the application guidelines and eligibility requirements on our website.

This application will take approximately 10-15 minutes to complete.
Please be prepared to share documentation about your status as a single-parent, your current educational enrollment, financial need, and the total cost for which you are requesting a grant.

Please note: Current Raise The Barr participants are not eligible for this grant.

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* 1. Full Name

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* 2. Phone

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* 3. Email

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* 4. Address

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* 5. Do you currently live, work, or attend school in Yolo County?

Yes

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* 6. Please upload documentation that confirms your connection to Yolo County.

Driver’s license or state ID with a Yolo County address Utility bill, lease, or other official mail with your name and Yolo County address Pay stub or employment verification showing Yolo County workplace Current school enrollment verification from a Yolo County institution

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 7. Are you the primary caregiver of a dependent under the age of 18?

Yes

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* 8. Confirmation of Caregiving/Parenting Status

Upload one of the following to demonstrate that you are a single-parent: Most recent 1040 tax return form (preferred), birth certificate of the child listing the applicant as only parent, court documents verifying sole custody, child support agreement, or other government assistance documentation in which your parenting status is listed

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 9. Which of the following applies to you? (Select all that apply)

I am eligible for Section 8 housing

I am Pell Grant eligible

I have dependents in elementary through high school who are eligible for free or reduced-price meals

None of the above

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* 10. Please provide proof of eligibility for the option(s) you selected above.

(Examples: Section 8 housing voucher or letter, Pell Grant award letter or FAFSA confirmation, or free/reduced meal eligibility letter from your child’s school.)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 11. Which college or certification program are you attending?

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* 12. Confirmation of Enrollment Status

Official/unofficial transcript, current or upcoming class schedule (PDF Only)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 13. Upload documentation related to financial need

Upload one of the following: documentation showing participation in government assistance programs, most recent tax return, or financial aid award letter

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 14. Grant amount you are requesting

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* 15. Can you briefly explain the circumstances that have led to your current difficulty in paying housing-related costs?

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* 16. What steps are you taking to prevent this situation from happening again?

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* 17. What is your current housing situation?

Renting

Own

Transitional Housing

Staying with friends or family (couch-surfing)

In a hotel or motel

Living in a vehicle

Student housing

Subsidized Housing

Other (please specify)

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* 18. What specific housing-related costs are you needing help with?

Rent

Mortgage

Utilities

Security Deposit

Late fees

Other (please specify)

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* 19. Please upload documentation that shows the exact amount you are requesting support for.

Rent statement, a lease showing a late balance, a utility notice with a past-due amount, a letter from your landlord outlining what is owed, an invoice or cost breakdown of security deposit.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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RTB Housing Grant Eligibility Application

Important Information

Question Title

* 1. Full Name

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* 2. Phone

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* 3. Email

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* 4. Address

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* 5. Do you currently live, work, or attend school in Yolo County?

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* 6. Please upload documentation that confirms your connection to Yolo County.

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* 7. Are you the primary caregiver of a dependent under the age of 18?

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* 8. Confirmation of Caregiving/Parenting Status

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* 9. Which of the following applies to you? (Select all that apply)

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* 10. Please provide proof of eligibility for the option(s) you selected above.

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* 11. Which college or certification program are you attending?

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* 12. Confirmation of Enrollment Status

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* 13. Upload documentation related to financial need

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* 14. Grant amount you are requesting

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* 15. Can you briefly explain the circumstances that have led to your current difficulty in paying housing-related costs?

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* 16. What steps are you taking to prevent this situation from happening again?

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* 17. What is your current housing situation?

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* 18. What specific housing-related costs are you needing help with?

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* 19. Please upload documentation that shows the exact amount you are requesting support for.

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* 20. What other resources or support services have you explored? If none, answer N/A.

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* 21. If this grant does not cover the full cost of that activity, how do you plan to cover the remaining expenses? If this does not apply, answer N/A