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resident application form for Covenant House
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Who We Are
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The Program
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Resident Application and Agreement
Resident Application and Agreement
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Covenant House Program Agreement & Resident Application
Covenant House is an all-life intensive program designed to foster stability, community, and an authentic relationship with Jesus Christ. Members of Covenant House will be engaged in faith-based programming that provides a healthy living environment, Gospel education, 1-on-1 mentorship, Sunday worship, and serving opportunities that center around the Gospel message. At Covenant House, we believe the Gospel provides the only real and lasting solution to the spiritual poverty that lives within all mankind. This is not merely a stability program, but an all-encompassing way of living designed to bring its members into discipleship with Jesus and into the covenant blessing of God and His promises. As a covenant, we will be fully engaged in upholding our promise to each other. As your Stewards, we promise to serve you as guides along this path of discipleship, providing spiritual counsel, life-coaching, and mentorship. As a Member, we require you to whole-heartedly abide by our measures of growth as they pertain to teaching, mentorship, worship, and service in Covenant House. Covenant House requires each Member to seek and maintain full employment and attend the following programming: ❖ Recovery Class ❖ Bible Study ❖ Regular 1-On-1 Mentorship ❖ Finance Coaching ❖ Ministry Service ❖ Sunday Worship Before applying to Covenant House, we ask you to carefully consider the Mission Statement above as to fully understand what this covenant means. The following pages outline administrative and contractual guidelines that pertain to the Program Agreement. Prior to reading them, we ask that you initial below in agreement that you have carefully considered the Covenant House Mission Statement above. By initialing below, you are not agreeing to any of the terms in the following pages, only that you understand Covenant House’s promise to you and your promise to us as a vital component in each other’s success.
I agree
Initial
*
signature
keyboard
Clear
Date
“For this is the covenant that I will make with the house of Israel after those days, declares the Lord: I will put my law within them, and I will write it on their hearts. And I will be their God, and they shall be my people. And no longer shall each one teach his neighbor and each his brother, saying, ‘Know the Lord, ’ for they shall all know me, from the least of them to the greatest, declares the Lord. For I will forgive their iniquity, and I will remember their sin no more.” ~ Jeremiah 31:33-34 ESV
Applicant
Name
*
Name
First
First
Middle
Middle
Last
Last
Phone
*
Email
*
Date of Birth
*
Place of Birth
*
How did you hear about Covenant House?
Relationship Status
*
Single
Married
Divorced
Separated
Widowed
Dating
Name of significant other
Phone
City/State
Length of relationship
Is the relationship healthy?
Yes
No
Do you have children?
Yes
No
If so, how many and what are their ages
Who is caring/guardian for the children listed above? Is there any DHS involvement?
Do you have a background within the Church or Christian faith?
Yes
No
Are you currently a member of a congregation?
Yes
No
If yes, where:
Pastor:
If you are human, leave this field blank.
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