Need Help?

Are you pregnant? Are you a mom with young kids who needs a safe place to stay? All adult applicants to Alpha House’s programs must complete an Intake form to determine eligibility.  Those individuals identified as meeting criteria will be placed on a waiting list if no beds are available.  Please contact our coordinator at (813) 875-2024 to set up your appointment. If you are a community based provider and are working with a minor client, please complete the forms provided. The forms are available to complete online or you have the option to print and fax.

Eligibility Criteria: Women, 18 years of age or older, who are homeless and pregnant or parenting. Teens are referred to Alpha House through the Foster Care system.

Target Population: Women can be self-referred.  Teens that are pregnant or parenting are referred through the Foster Care system. Our young adult women (18/over) meet the federal guidelines for homelessness.

Service Area: Hillsborough County and the State of Florida

Referral Process: Online applications located below or PDFs available for printing.

Call: Receptionist at (813)875-2024

Bilingual Services: Yes – Spanish


Adult Homeless Verification Form

Adult Initial Application for Services


Minor Move-In Packet

Printed Versions

Adult Homeless Verification Form
Adult Initial Application For Services

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