Looking for help?

Please complete the following information to the best of your ability and hit the submit button.  We will review your inquiry as soon as possible.  If you are a good candidate to participate in the Acres of Hope program, a supplemental application will be sent to you for completion.  You will also be required to submit at least 2 referrals from others.


Please complete the form below

Name *
Phone *
Alternative Phone Number
Alternative Phone Number
Are you in recovery? *
Include for each child: Name, gender, age, and current custody (full/part/none) with you
Describe why you would like to join the Acres of Hope family and what you hope to accomplish while you are here?