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General Information

Birthday
Marital Status
Married
Single
Separated
Divorced
Did you graduate from High School?
Yes
No

If no, while at the House of Hope we will work together to help you obtain your GED.

Do you have a vehicle?
Yes
No
If you have a vehicle, we need a copy of your driver's license and insurance.

Individual History

Do you have a substance abuse problem?
Yes
No
Have you been diagnosed with any other mental / emotional problems besides substance abuse?
Yes
No
Employment is a necessary part to be a resident at the House of Hope. Can you work full time?
Yes
No

List Three Goals you would like to accomplish while at the House of Hope

If you are currently incarcerated:

Arrested Record

In Gratitude...

The Renewed Treasures Ministries would like to thank the following contributors to our website. David J. Eslick Photography provided many splendid images presented here. Brett Franklin of Quality Trim and Sign designed our handsome web banner. James S. Baumlin of Research Consultants of the Ozarks helped with the text. Jann Baker designed [and maintains] our site. To these gracious givers, we add our thanks to the pastor and congregation of Northside Assembly of God.

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