Grace Haven Application
Grace Haven is a faith based women's restoration home in Paoli Indiana. We currently have 10 beds available to house women looking to find a new way to live free of addictions. Grace Haven is dedicated to sharing the love of Jesus to women in recovery. We are primarily run by women who have been through the program or have been touched by addiction in some way. Grace Haven is approximately a 9-month program, in which time women develop a solid foundation of love, support, and guidance. We offer daily bible studies and several life skills classes that include parenting, budgeting, cooking, cleaning etc. We also have a lovely exercise area, garden, dance class, and individual sleeping rooms. While we do not allow children to live in the residence women are able to get overnight visits with their children weekly. We are not a medical facility and are not able to accept applicants on any controlled substances or mental health medication. For more information Email gracehaven116@gmail.com
Name
Last name
Date of birth
Email
Phone Number
Where are you from?
Tell us about your drug/alcohol use
Tell us about your current medical/mental conditions
100
Have you been in treatment before?
100
Current Medications
100
Tell us about your family? (Children, spouse etc.)
100
Most recent employment?
100
Current/Pending criminal charges
100
Upcoming Court Dates (Date, Time & County)
Why do you want to come to Grace Haven, what do you hope to accomplish?
100
Your Signature
*
Clear
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