Apply - Workforce Discipleship

apply for temporary housing consideration

Fill Out The Form Below, a Workforce Discipleship Housing Representative Will Contact You.

Temporary Housing Application

Name

Date Of Birth

Male / Female

Phone / Mobile Number

Current Address If Applicable

City

State

Zip

Name

Relationship

Phone / Mobile Number

Personal Reference 1

Contact Number

Personal Reference 2

Contact Number

Why are you seeking temporary Christian residential housing at this time?

Length Of Stay Requested

Do you identify as a Christian?

Are you willing to participate in Christian base activities prayer devotion chapel ?

Are you willing to follow house guidelines, including respect, sobriety, communal living?

Are You Currently Employed?

Source of Income

Cost Acceptance

If you are approved for the housing program you acknowledge that accept the $200 weekly rate, required to reside on the premises. You also acknowledge and agree that a 1 week deposit plus the first week rents is required. The total required to move in an assigned resident space is $400.

Background & Safety

Do you have medical or special needs requirements?

Application Terms Acceptance

I understand this is a Christian base residential program and agree to abide by the house, rules and spiritual environment

Pre-Screening Acknowledgement

This procedure is a pre-screening and once accepted resident will agreed to go through a personal interview with staff and a second application is to be filled out before Acceptance.

Special Thanks To Our Community Partners

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Now, it’s your turn.

You’ve seen the impact. You’ve heard the stories. Now, it’s your turn to take action. Whether it’s giving your time, sharing your voice, or making a donation, you have the power to create real change.

apply for temporary housing consideration

Temporary Housing Application

Special Thanks To Our Community Partners

Now, it’s your turn.

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