Apply

Download the application package for your program, complete it with your support team, and fax it to our intake team.

How to submit your application

Application packages contain personal and medical information. Faxing is the safest way to send them as it keeps your information private and protected. If faxing isn't possible, call the intake team for your program before sending and they'll advise on the best option.

Family Program

For families with children at a later stage of recovery

Fax completed packages to 250-723-5926. One application is required per family member.

Child & Youth Application Form
(ages 5-18)
Fillable
Adult Application
Fillable
Infant/Toddler Application
(0-5 years)
Fillable
Supportive Recovery

For women 19+ in early recovery

Applications are handled directly through the intake coordinator. Call to start the process and the intake team will walk you through everything you need.

Rebuilding the Circle

For those affected by sexual harm · Healing and Restoration are separate programs and require separate applications.

Fax completed packages to 250-723-5926

Healing Session Application
Fillable
Restoration Application
Fillable

 

Need help with your application?

Your referral worker helps complete most of the package. If you don't have one yet, call the intake team and they can point you toward the right support.

Contact Us

We're here to help. Whether you have questions about our programs, want to volunteer, or simply want to learn more, please reach out to us using the form below.

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