Screening Application

Attention: In light of the current situation regarding Covid-19, we will not be holding face to face interviews. We will be conducting interviews over the phone.  Interviews will be Tuesdays and Thursdays from 9am to 1pm. 

Please, complete this application for residency as completely and accurately as possible.
All information disclosed will remain confidential.

After submitting your application, the next step is to schedule an interview.  We hold  interviews on Tuesdays, from 9am to 1pm. Please call 913-633-6919 and ask for Jesse to set up your interview with the Director of Healing House.


If you are using a mobile phone to apply, you must set the device to desktop view first. 

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  • Please be honest. A background check may be run and, if you have been dishonest in any way, this application will be disregarded.