Choosing to enter our program is a courageous and life-changing decision. We know it’s not one to be taken lightly, which is why we encourage you to learn as much as you can about who we are, what we offer, and how we can support you on your journey. Our application process is straightforward and personal — designed to help us understand your needs and ensure our program is the right fit for you.

Whether you’re applying for yourself or referring someone you care about, this form will guide you through each step. Once you’ve submitted the form, our team will be in touch to begin the conversation.

Who are you completing this application for? *

Applicant details

Is the applicant currently incarcerated? *
Is the applicant currently subject to any of the following? (check all that apply)

Understanding of faith

Do you acknowledge that this is a faith-based organisation? *

Medical information

Is the applicant currently taking any medication? *

Additional details

Primary concerns to address (check all that apply)