I hereby apply for admission to Barclay Friends and in connection with my Application, submit the following information. I understand that this information will be kept confidential.
Barclay Friends considers and admits residents without regard to race, color, gender, sexual orientation, religion, national origin, or any other characteristic protected by law.
I agree to adhere to the terms of admission and the rules governing the operation of Barclay Friends under the authority of its Board of Directors.
For Preston only, a $150 Application Fee must accompany this application (made payable to Barclay Friends).
Applications for Cotter (Nursing Care and Rehab) are valid for one year only. To renew, please contact Admissions.
I agree to furnish additional financial information if requested, including tax returns, investment statements, proof of income, to process this application.
I agree to furnish additional financial information as may be required from time to time and agree to report any major changes in financial status as soon as possible.
I will not, during residence at Barclay Friends, transfer or reduce resources needed to carry out my (our) commitments to Barclay Friends.
I affirm that the information provided to Barclay Friends in this financial disclosure and any attachments in connection with my (our) application for residence is true, accurate and complete to the best of my (our) ability. All information has been provided with the express knowledge that it will be relied on by Barclay Friends in making a determination regarding the application.