Thrive Admissions

You have made a great choice to explore the possibilities for you at Thrive! Next step – complete the application below.

The Thrive Life Team wants you to have a fresh start.
We want you and your children to have a safe, nurturing place to call home.
We want to help you do more than just survive.
We want to do all we can to help you learn to thrive.

Portrait happy young women friends relaxing on blanket in sunny park

At Thrive you will have a temporary refuge for healing, restoration and growth. It’s not a shelter or a room for rent, but a safe haven and a community of support to guide and encourage you as you build a plan for your life. You will be equipped with the skills, tools and resources you need to provide a healthy, stable, flourishing home for your family.

Admission Criteria

A strong desire to make life changes and a willingness to accept help to make those changes
A teachable heart that is eager to receive coaching, teaching and encouragement
An understanding of the importance of life coaching, counseling, life skills training and personal development to accomplish long-lasting life change
A cooperative spirit committed to participating in the responsibility of living in community
Pregnant or parenting 1-2 children under the age of three
Alcohol, drug, cigarette and vape free for at least three months
No active felony charges and not under probation or parole supervision

Step 1 of 14

General Information

Date of Application(Required)

How did you hear about Thrive?(Required)

Name(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Current Age(Required)

Birthdate(Required)

Gender(Required)

Driver License or State ID Number

State Issued

Expiration Date

Marital Status(Required)

Place of Birth

Demographical Information

Citizenship(Required)

Pregnancy Information

Are you currently pregnant?(Required)

Yes

How many weeks?

How was your pregnancy confirmed?

My current pregnancy plans include:(Required)

Parenting

Adoption

Undecided

How are you feeling about your pregnancy?

Are you receiving prenatal care?

Yes

Doctor's Name

Doctor's Phone Number

Date of last appointment

Is your pregnany considered high risk? If yes, please explain:

Current Housing Situation

Are you homeless (without a long-term place to live)?(Required)

Yes

What is causing your homelessness?(Required)

Where are you currently staying?(Required)

Are you safe in your current situation?(Required)

Yes

Relationship Information

Your Mother's Name:(Required)

Mother's Status?(Required)

Alive

Deceased

Estranged

Your Father's Name:(Required)

Father's Status?(Required)

Alive

Deceased

Estranged

Emergency Contact Name:(Required)

Email Address:

Contact Phone:(Required)

Please describe the following relationships:

What is your relationship like with your family?(Required)

What is your relationship like with the baby's father?(Required)

In preparation for living in community, please answer the following questions:

How do you deal with conflict with others?(Required)

How do you feel about people in authority?(Required)

How do you feel about having structure and household responsibilities?(Required)

Education & Training History

Did you complete your high school education?(Required)

Yes

Which do you have?(Required)

High School Diploma

GED

When did you receive it?

What was the highest grade you completed?(Required)

Do you have any career certifications?(Required)

Yes

Please list field and certification

Are you currently in school?(Required)

Yes

Please list school you are attending:

Reference Information

Please provide the names and contact information for two adults who can be a reference for you.

Reference #1 Name(Required)

Relationship(Required)

Phone Number(Required)

Mailing Address

Reference #2 Name

Relationship

Phone Number

Mailing Address

Applicant Certifications & Acknowledgements

By typing or signing my name below, certify that all information provided in this application is true, accurate and complete to the best of my knowledge;

I understand that if I have withheld or falsified information, it can cause my application to be denied or participation in the Residential Services to be terminated;

I acknowledge Thrive will run my background check before approving my application for residential services;

I authorize staff of Thrive to contact the references I have listed above.

Please type your name in the space below to certify the above statements:(Required)

Date(Required)