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HOUSING APPLICATION

Client Name*

Previous Address*

Marital Status*

Financial Situation/No Refund

Food Stamp Amount

Contact Nmber

Age

Sex

Race

Referring Agency

CSW/Contact No.

CSW Email Address

ENTRY INFORMATION REQUIRED PLEASE LEAVE BELOW IN THE MESSAGE BOX (all information is confidential). 

ENTRY INFORMATION

Please fill out the form below for current diagnosis, past/present drug use, prior treatment, court ordered and if client has received a mental health diagnosis and is prescribed medication.

Thank You!

Name*

Email Address*

Message*

Contact 

Information

SARITA  LYNNE MINISTRIES

Transitional Housing

The Princess House-Women

Joshua's Safe Haven-Men

Phone: 816.561.0035

Email: saritagraham@aol.com

Hours of Operation

Mon-Fri: 8-5pm

Sat: By Appointment

Sun: Closed

                              Address

                     2214 Benton Blvd

            KCMO 64127         (816) 561.0035

          SLM HOUSING PROGRAM IS

       SELF-SUFFICIENT AND SELF PAY


                        HOUSING FEES

     $235 program  fee  & $150.00 Weekly


 We Do Prisoner HOME PLANS via Email only.  To secure your homeplan  total amount due is  $835.00  which must be paid before your  arrival. 

  ( $235 program fee plus $600.00 monthly dorm fee ) Thereafter $150.00  weekly

                      NO REFUNDS.

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