Screening Application

Screening Application

Attention: In light of the current situation regarding Covid-19, we are not be holding face to face interviews. We will be conducting interviews over the phone and online.  Interviews are conducted on Tuesdays and Thursdays. 

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.  Please call 816-920-7181 and ask for Tamika to set up your interview.

Any questions concerning this process, please call the Main Office at 819-920-7181. (see the Healing House Resident Rules)


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.