Hope House Canon City Eligibility
Thanks for your interest in Hope House! Hope House Residential Program provides resources and a residence. Hope House Resource Only Program provides resources without the residence. Please answer the following questions to see if you're eligible for our programs!
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Email *
Today's Date *
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What is your age? *
I gave birth to my first child before I turned 20 *
I am a documented US citizen or have lawful status *
What is your first and last name? *
What is your phone number

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What is the best way for Hope House staff to contact you? *
How did you hear about Hope House Canon City? *
Are you interested in the Hope House Residential Program or Hope House Resource Only Program? *
If you were to come for orientation, would you be bringing your child(ren) with you? *
Would you be interested in them using our babysitters if available? *
How many kids would you bringing and what age(s)? *
Do your kids have any allergies or medical conditions we should be aware of? *
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