Are you interested in our program? Please fill out the form on this page and we will get back to you!  Please note that this form is not the official Elizabeth House application, but a form to indicate interest in our program. The application will be sent to a woman after she has spoken with an Elizabeth House staff member. Or call tel:9796769416

RESIDENT REQUIREMENTS

• Must be 18 or older
• Willing to share a home with others and follow home rules
• Willing to work, to continue your education, and/or volunteer
• Willing to learn living, parenting, and employment skills
• Willing to attend counseling with counselor of choice on a regular basis if determined necessary
• Must complete entire application process including an interview, application, and admission packet.