Get Help

Hope Begins Here! To Start Your Acres of Hope journey, fill out the inquiry below.

Looking for Help?

If you are interested in the Acres of Hope program, please fill complete the fillable inquiry form to the best of your ability. We will review your inquiry as soon as possible. If you are a good candidate to participate in the Acres of Hope program, our intake coordinator will contact you for a prescreening and interview.

Application

Please complete the form below.

First Name

Last Name

Birthdate

Primary Language

Secondary Language

US Citizen?

Marital Status

Current Living Status

Mailing Address

Phone Number

Alternative Phone Number

Email

Are you on probation/parole?

Are you a sex offender?

Officer's Name

County

Phone

Have you been drug and alcohol-free for at least 3 months?

Clean Date

What medications are you currently taking?

Are there any mental health or medical diagnosis?

Please note that every applicant, including your child(ren), must have a clear TB test within the last year at admission, be current on immunizations, and children must be in the 6th grade or below in order for the family to qualify.

Do you have an open CPS case?

CPS Worker's Name

County

Phone

How many children do you have?

List children from oldest to youngest

Child 1

First Name

Last Name

Age

Birthday

Gender

Living with mother?

Father's Name

Custody Status

Your current custody/visitation arrangements?

Child 2

First Name

Last Name

Age

Birthday

Gender

Living with mother?

Father's Name

Custody Status

Your current custody/visitation arrangements?

Child 3

First Name

Last Name

Age

Birthday

Gender

Living with mother?

Father's Name

Custody Status

Your current custody/visitation arrangements?

This program is truly a miracle for me and my family. It has saved me from alcoholism and is teaching me the skills to break the cycle of addiction and abuse, and to eventually become a productive woman and mother in the community.

Previous Acres of Hope Resident

Who is a good candidate for admission?

Homeless

Applicants must be homeless, facing homelessness or exiting a homeless service program.

Children

Acres of Hope accepts applications from mothers with children of approximate ages of 10 years and younger.

Referrals

Acres of Hope invests heavily in our residents. As good stewards of our resources, we seek applicants who have demonstrated a sincere desire to address the obstacles that caused their homelessness. Referrals serve as a testimony to the applicant’s willingness and capability to take full advantage of the Acres of Hope program.

Drug and Alcohol Free

Residents must be drug and alcohol free for a minimum of three months prior to admission.

Smoke-Free

Residents must have stopped smoking prior to entry. They may utilize a nicotine patch for up to six weeks after arrival.

Download Application

Refer a candidate

The success of Acres of Hope depends upon strong community support and partnerships. We consider our program to be an extension of the many services already available to the homeless community. We invite anyone to make referrals to the Acres of Hope program.

Referral Form

Download our resident application to be considered for the Acres of Hope program.

Application