• Housing Program Application

    Housing Program Application

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Marital Status:*
  • Do you have minor children?*
  • Are you currently homeless?*
  • Have you previously been a resident at The Oaks Ministry?
  • Format: (000) 000-0000.

  • Health

  • Do you have health insurance?*
  • Are you currently pregnant?*
  • Are you under medical care at this time for any physical health conditions?*
  • Do you have any scheduled or pending surgeries?*

  • Mental Health

  • Are you under medical care at this time for any mental health conditions?*
  • Are you currently taking any medications for your Mental Health?*

  • Employment

    The Oaks Ministry Policy includes a 30 day resting period where residents are not permitted to work.
  • Are you currently employed? (We reserve the right to contact employer)*
  • Are you willing/able to work a minimum of 20 hours per week?

  • Financial

  • Do you have a checking/savings account?*

  • Recovery

  • Do you have a history of addiction to any substance, alcohol, sex, gambling, etc.?*
  • Do you have a sponsor? (We reserve the right to contact your sponsor)*
  • Format: (000) 000-0000.

  • Transportation

  • Do you have a current driver's license?*
  • Do you have a vehicle?*
  • Do you have auto insurance?*
  • If accepted, would you have transportation to our Program?*

  • Education

  • Are you attending school?*

  • Legal

  • Have you ever been convicted of a crime?*
  • Have you ever been convicted of a sexual offence?*
  • Have you ever been incarcerated?*
  • Are you on parole or probation? (We reserve the right to contact your Parole Officer)*
  • Format: (000) 000-0000.
  • Do you have any pending legal charges?*

  • Spiritual

  • Do you have a personal relationship with Jesus Christ?*
  • The Oaks Ministry Program is a Christ-centered program based on principles taught in the Holy Bible. Are you willing to learn and adhere to these principles?*

  • The Oaks Ministry Residential Program is a Christian Discipleship Training Program. I have made a commitment to Jesus Christ, or I am willing to consider the possibility of doing so. People who enter The Oaks Ministry Residential Program may have had histories including, but not necessarily limited to, drug and alcohol abuse, and/or mental or emotional problems. The Oaks Ministry Residential Program is not licensed by the State of Pennsylvania as a Drug and Alcohol Treatment Program or as a Mental Health Facility. The program offered by the Oaks Ministry team consists of Bible-based teaching with spiritual emphasis.

    Any false statements or answers on this application may be subject to denial or admission into, or, dismissal from The Oaks Ministry Residential Program.

  • Completed applications may also be submitted to:

    The Oaks Ministry Housing Program

    P.O. Box 29 Oxford PA 19363

  • Should be Empty: