We understand that the decision to seek out of home placement is often difficult and hope that our application form will help you with the first steps of the process.

Our online application form is easy to use and is set up in a way that allows you to save and continue your form later, until you are ready to submit the form.

As you consider this process, be aware that the form will ask you about your background including your education and work history, family circumstances, substance usage, legal involvement, in addition to basic information on your child(ren). You’ll need to have this information handy as you proceed to use the online form.

Single-Mom Applicant Requirements:

  • Committed to improving herself, her situations and want to enhance the future of her children, but does not have the means and help to accomplish this on her own.
  • Have at least one of her children in her care. (Boys must be 10 years old or younger.)
  • Must not be pregnant at time of admission.
  • Required to attend church services.
  • Required to work and/or attend school 30+ hours per week.