Resident Application

Please fill out the form below to apply for residency at Lydia’s House of Hope. Before filling out this application, please read our Program Guide to see if we are the right fit for you. Our process to be admitted begins with your application below.  Once we receive the application, a caseworker will contact you within 48 hours to review your information and help you move forward in the application process. Please honest and as accurate as possible. If any innacurate information is provided, you will be immediately disqualied from admittance into the program. Background checks will be conducted for anyone selected to enter Lydia’s House of Hope.

Job Application
First
Last
Address
Address
City
State/Province
Zip/Postal
Country

Emergency Contact Information

Children

Employment (Most Recent First)

Education (Most Recent First)

Transportation

Housing

List your last three addresses (not including your current address)
Address 1
City
State/Province
Zip/Postal
Address 2
City
State/Province
Zip/Postal
Address 3
City
State/Province
Zip/Postal

Criminal History

Mental Health

Address of Therapist/Counselor
City
State/Province
Zip/Postal
Address of Psychiatrist
City
State/Province
Zip/Postal

If Yes, please list

Medical History

Primary Care Physician Address
City
State/Province
Zip/Postal
OB/GYN Address
City
State/Province
Zip/Postal
Country

Medication

Please list any prescription and non-prescription medicines, vitamins, home remedies, birth control pills, herbs:

Substance/Alchohol History

Spirituality

Transitional Housing Program

Lydia’s House of Hope is a 12 month Transitional Housing Program. Individuals accepted into our program are chosen based on their readiness and motivation to want to work on personal goals and dreams. You will meet with a Case Manager as needed weekly. They will work with you to set goals and monitor and assist you with the progress of your goals. The programming listed below are ones that you will participate in. The Case Manager will assist you with creating a manageable schedule and linking you to the resources you will need to reach your goals. Time Management Training Financial Literacy and Budgeting Transportation – Acquiring driver’s license and obtaining a vehicle In-House individual counseling W/ MLADC Cooking Classes: Healthy Eating and Grocery Shopping Parenting Classes Recovery Classes Job Skill Training Adult Education/Post Education/Higher Education Weekly Mandatory Essentials are: Morning Devotions – Monday – Friday 7am House Meetings – 1 time week Curfew is 4:30 pm to support a positive life style routine, and learn to work together in a family based atmosphere. Dinnertime meals will be shared Church on Sunday – Your choice Finally, Lydia’s House of Hope is a Christian based Transitional Housing Program; therefore, we do not allow the teachings or meditations of other religions here. We reserve all rights to our religious position without complete rebuttle.

FINANCIAL responsibility for living at Lydia’s House of Hope:

The program requires a monthly room fee of $300.00 due each month at the beginning of each month. A damage fee of an additional $300.00 is also required and will be held and returned upon departure after inspection and review of any incidents of damages while living at LHOH. While the first months room and damage fees, totaling $600.00, are required to move in, LHOH is aware that some individuals and families may have little or no income upon entry. If accepted into the program and you are experiencing a financial hardship you would be required to create a financial plan with our case manager to obtain financial assistance in order to secure your stay at Lydia’s House of Hope. NOTE: Security deposit is not returned if program is not completed. Completion is determined by successfully completing the 4 phases of the program and meet requirements of graduation per the staff and Case Management.
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