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New Opportunity School for Women

New Opportunity School for Women

Change Begins with a Helping Hand

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Residential Program Application

MM slash DD slash YYYY
MM slash DD slash YYYY
Address:(Required)
Relationship status:(Required)
Ethnicity:(Required)
Highest level of education you have received:(Required)
Are you currently employed?(Required)
The two-week residential program requires physical activities including but not limited to walking, climbing stairs, and sitting for long periods of time. Please also know that the New Opportunity School takes very seriously its role as host to a number of participants each session, and will require each participant to conduct herself in a safe and productive manner. Are you prepared to do this?(Required)
Are you currently working with a therapist?(Required)
Because the New Opportunity School seeks to serve those of limited financial resources, income will be a strong consideration in choosing participants for the program. Please check the category that best represents your FAMILY income.(Required)
Do you give permission for a background check? A past conviction will not impact your acceptance into our program.(Required)

There is a limited amount of money available to assist with childcare and travel expenses.

Would you need assistance paying for childcare while attending our program?
Would you need assistance paying for travel to attend our program?
Max. file size: 300 MB.

References

Please provide the names, phone numbers and email addresses of two references who know you well (i.e., teachers, social workers, employers, ministers, etc.).
Name of first reference:(Required)
Name of second reference:(Required)
Signature of applicant

Do you have a question?

Just drop us a line.

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(859) 985-7200 | info@nosw.org
204 Chestnut St., Berea, KY 40403

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  • What we do
    • Residential Program
    • Non-Residential Program
    • Online Offerings
    • The Sisterhood
    • Calendar
  • Stories
    • About Our Women
    • About Our Supporters
    • Newsletters
  • About
    • Mission & Vision
    • History
    • Belonging
    • Team & Board
    • Impact & Sustainability
  • Ways to Help
    • Ways to Give Now
    • Planned Giving
    • Become a Sponsor
    • Volunteer
  • News
    • News & Events
    • For Media
    • Newsletters
    • Calendar
  • Donate
  • Apply

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