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Turning Point of Steuben County
Residence Application

Applicant Information

Applicant Information

Number in Family:

NOTE: We will need separate application for spouse or significant other.

Background Information

Have you or any Family Member ever stayed at Turning Point?
Do you have any felonies?
WARRANTS
SEX OFFENSE CONVICTION
DOMESTIC VIOLENCE
PROTECTIVE ORDER
Employed?
Are you able to Pass a Drug Test?
Driver's License?
Transportation?
Able to Work?
Willing to Work?

HISTORY AND/OR CURRENT USE OR CONDITION

Are YOU NOW or EVER been in a program?

Drugs?
Drug Program:
Alcohol?
Alcohol Program:
Mental Health?
Mental Health Program:
Violence?
Violence Program:
Disability?
Disbility Program:

Intake Information

Do you understand and are you able to commit to the following as part of residence?

​

  • Daily household chores

  • Weekly case management

  • ​Weekly budgets

  • 30-day restriction (limited exit of the facility)

  • ​Bible study

  • Daily devotions

Do you understand?

There is a trial period of 14 days. Then continued residence will be evaluated.
 

Please note that Turning Point Ministries cannot allow controlled substance and/or narcotic prescription

Thanks for sending us your application! We'll get back to you soon.

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