Program Application

Apply to participate in OnRamp To Independence programs. Completed applications are reviewed within 5–7 business days.

All OnRamp To Independence programs are free of charge to eligible participants. Services are provided regardless of race, color, national origin, religion, sex, gender identity, disability, or immigration status.

1. Personal Information

Full Legal Name *

Date of Birth *

Cell Phone *

Email Address *

Preferred Contact Method

Current Address (or best way to reach you if no stable address)

2. Program Interest

Check all programs you are interested in. Our team will follow up to discuss fit and availability.

Life Roadmap

Personalized life skills coaching covering budgeting, housing, healthcare navigation, and building a plan for independent living.

Mentorship Program

One-on-one mentorship with a trained adult volunteer who provides guidance, accountability, and support as you navigate adulthood.

Tech Tools & Digital Skills

Access to devices, internet resources, and training on digital skills essential for employment, education, and modern life.

Are there other areas of support you need that are not listed above?

3. Background & Eligibility

OnRamp primarily serves current and former foster youth ages 14–26 in Georgia. We also serve other young adults in comparable situations of housing or economic instability.

Current connection to foster care system *

Currently in foster care Aged out / formerly in foster care Not in foster care but experiencing housing instability Other young adult experiencing transition to independence

Current housing status

Current school / training

Current employment

4. Short-Answer Questions

What is your biggest challenge right now as you work toward independence? *

What does independence mean to you, and what does it look like in your life 2–3 years from now? *

Is there anything you want us to know about you before we connect? (Optional)

5. Referral Information

How did you learn about OnRamp To Independence?

Case manager / social worker School / counselor Another participant Internet / social media Community event Other: ___________

Referral person / organization name (if applicable)

Their phone / email

6. Certification & Signature

By signing below, I certify that the information in this application is true and accurate. I understand that submitting this application does not guarantee placement in a program. I agree to be contacted by OnRamp To Independence regarding my application and program availability.

Applicant Signature *

Date *

If applicant is under 18, a parent, guardian, or case manager signature may be required. Please contact us at info@onramp-independence.org.