Yellow House Pre Application Please enable JavaScript in your browser to complete this form.The Yellow House Program is only for young ladies ages 16 - 21 years old. If you are older than that, or a male, please complete the REACH Langley application. What is your age? *Are you currently homeless? *YesNoName *FirstLastEmail *Contact Number *Is this your number? *YesNoAre you pregnant? *YesNoDo you have infant children? *YesNoIf yes, how many?Why do you want to be part of The Yellow House? *Comment or MessageSubmit
