Refuge House Application
Download and print the entire application here
OR
to fill it out on the computer, please continue below.
PRE-ADMISSION AGREEMENT
While living at Refuge House I agree to:
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Treat others with respect, kindness, and equality. I agree to respect other women’s confidentiality and to own their past decisions as well as their privilege to learn from them.
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Respect the property of Refuge House and the property of the other residents of Refuge House. This includes the personal space of others and their physical being.
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I will give the House Manager $100 from my first W2 check as a security deposit which will be returned to me when it is time to transition to independent living. The return of the full $100 is contingent upon my leaving my room clean upon inspection and complete with all room contents provided to me while residing at Refuge House.
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When leaving Refuge House it is my responsibility to provide the Refuge House Manager with my forwarding address so that my security deposit or a portion of it can be sent to me.
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Handle disagreements positively, respectfully, and with forgiveness. The House Manager is able to help residents learn conflict resolution skills.
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Respect others by choosing positive language as my form of personal expression. In a Christ-centered home, foul language is not good modeling for children, nor is it good character development for strong women developing their parenting skills.
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Attend worship services together.
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Attend weekly goal sessions.
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Attend Refuge House Programs which have been arranged to help me reach my full potential.
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To follow the house guidelines outlined in this application to the best of my ability. These guidelines are the same for all residents.