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Recipient Application
Recipient Application
Hope & Olive assists individuals who have experienced life-altering circumstances by providing restorative services in a safe environment, allowing them to move into the next season of their life with hope and a sense of victory.
19Questions
Recipient Application
Language
  • English (US)
  • 1

    Disclaimer & Terms

    Pregnant or nursing? We cannot approve applications at this time, because these services can not be performed on pregnant or nursing individuals. We still want to hear your story, and welcome your application in the future.

    If you are under the routine care of a physician for a medical condition, you may be asked to obtain written approval before services can be provided.

    Applicants must be 18 years old at the time of application submission.

    Hope & Olive promises to treat your application with the utmost respect. Your full application will never be shared outside of the Hope & Olive Board of Directors, Applicant Review Committee, and if approved, the artist that you will be working with. Please note that by completing this application, Hope & Olive has permission to use your first name, state of residence, and story, as well as before/after photos for marketing purposes. We will never share or use any other identifying information in any materials and you will have a choice in how much is shown in your photos (see question 9 of the application).

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  • 3
    You must me 18 at the time of application to be considered as a recipient.
    Pick a Date
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  • 4
    You will receive a conformation via email.
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  • 5
    Please provide the best phone number to contact you.
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  • 6
    Please Select
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  • 7
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  • 8
    If in treatment, a doctor’s note is required to receive permanent make-up services. This is for your safety (chance of infection) and integrity of services (body could reject pigment) as well as to protect our artists from any liability. Please note that even with a doctor's note, final approval (or denial) of permanent make-up services is at the discretion of the artist.
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  • 9
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    Max. file size: 10.6MB
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  • 10

    *STOP* Please do not submit your application at this point.

    Please obtain a doctor’s note with permission to receive permanent make-up services while in treatment. Once a note is obtained, please revisit our application and select the option of 'Yes and I HAVE a doctor's note' and upload the note with the photos that are requested later in the application. Please note that even with a doctor's note, final approval (or denial) of permanent make-up services is at the discretion of the artist. We look forward to receiving your application at a later time! Please feel free to contact applicants@hopeandolive.org with any questions.

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  • 12
    Choose only one service.
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  • 14
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  • 16
    250 words minimum.
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    25 words minimum.
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  • 18
    Please provide Hope & Olive with CURRENT photos of the area you are hoping to receive services for with no make-up or photo filters. Please upload as many photos as you believe are essential to Hope & Olive understanding what services are needed. If applying for areola restoration, photos are optional. Image should be CLEAR with good lighting to best show the impacted area.
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    Max. file size: 2.0MB
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  • 19
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