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Application Forms
for the House
If you feel like you have enough information and would like to
apply, please print off, complete, and return the forms below via
fax or mail. Please do not email your application form.
Applicant Form (to be filled out by you, the applicant)
Agency Referral
Form (to be filled out by any agency currently working with you)
Both forms are preferred and assist in the application process, but
if you do not have an agency currently working with you please do
not hesitate to fill out the applicant referral form and send it in.
After your application has been received and reviewed the next step
is an in person interview with the Director. The interview is an
opportunity to get to know you, your needs and the needs of your
family better to determine if Alpha House is right for you.
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