Courage House - Application for Residency
Are you interested in living in the Courage House in Gorham, ME after you are released from a correctional institution?

Please fill out the form below, and we will be happy to review your application and get back to you as soon as possible.
First Name
Last Name
Date of Birth
Phone Number
Email Address
Where are you currently living?
When would you like to move in? Is there a deadline?
Do you have a caseworker? If so, what is their name, position and contact information?
Courage House works closely with several similar programs around the state. If we cannot take you in Gorham, which other programs might you be interested in?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy