Admissions


Our facility has the capacity to house anywhere from 10-15 men. All admission decisions are made by our Executive Director Gary Cobb. There is a non-negotiable $300 monthly cost for all inpatient residents. As of 12/25/2014, all prospective residents must fill out and submit an admission’s application. To begin, fill out the form below. If the applicant is incarcerated and cannot fill in the form below, he must write a letter to the Director outlining his need for-and commitment to- help.

 

Admissions Application


Name:

Location:

Date of Birth:

E-mail:

Reason For Wanting Help: