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Juniper Refuge Program Application
Juniper Refuge is a Christian 501(C)(3) non-profit. We do not receive funding from, and are in no way affiliated with, the US government. Our modest funding comes from individuals, private foundations, and churches. 

We rely solely on the generous support of local churches and community members to volunteer their time in providing friendship and welcome to vulnerable new Americans. Our mission is to assist with learning skills for thriving in the US, through friendship. Program participation may be granted for up to 12 months. 
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Email *
Name of person filling out application *
Applicant's Given Name (First Name) *
Applicant's Family Name (Last Name) *
Applicant's Country of Origin *
Primary language *
Number of years Applicant has been in the United States *
Applicant's address *
Applicant's Phone Number *
Applicant's Email *
Level of English understanding *
Religious background
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