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WOMEN'S PROGRAM APPLICATION

Taking this step takes courage. We'll take the rest with you.

This application is the first step, not a commitment. Fill in what you can; if something's hard to answer, leave it, and we'll talk it through. Someone from our team will reach out personally after you submit.

What happens next

1

We review your application and a team member calls you, usually within a couple of business days.

2

We talk through your situation, answer every question, and see if the program is the right fit.

3

When you're ready, we plan your intake and arrival together, step by step.

Who is filling this out?

If reaching out for someone else, please "unclick" the applying for myself option

ABOUT YOU

Does the applicant know you're reaching out? That's okay either way, just tell us in the notes at the end, and we'll be thoughtful about how we follow up.

About You
Date of Birth
Month
Day
Year

Since you're reaching out for someone else, we've kept this short, just their basic details. We'll gather health, history, and other information directly with them when we connect, so you don't need to have those answers.

What you're facing

Be as honest as you can. Nothing here disqualifies you, it just helps us understand how to help.

Health & safety
Do you currently need medical detox?
Legal situation
Any current legal or court involvement?
Have you ever been charged or convicted of a sexual or violent crime?
Emergency Contact
Anything you'd like us to know
Our program is Christ-centered. How do you feel about that?
I share that faith
I'm open to it
I have questions, but I'm willing to start

Prefer to talk first? Call 231.798.7927, and a real person will help you through it.

IN CRISIS RIGHT NOW?

You don't have to wait on a form. Call 231.798.7927 any time, or dial 988 for the Suicide & Crisis Lifeline.

Not sure what to bring or what daily life is like? Read the Women's Program page before you apply.

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