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Application for Residency

Application for ResidencyChris Sisk2017-11-12T22:53:54-06:00

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  • *You will need to complete a financial application. Upon completion of this form, you will be directed to download the application. If you have an email address, you will also be e-mailed the form with instructions on how to turn it in.


  • I HEREBY AFFIRM that I am submitting this Application for Residency to The Baptist Home of my own free will and the information herein is true and correct to the best of my knowledge. I will abide by the Admissions Policy, in which, I have not or will not transfer or give away any real or personal assets other than for customary living expenses that otherwise could cause me to require benevolent assistance in the future. I understand that my name will be added to the application data base and all admissions are based on availability and type of residency. I understand the completion and submission of the Application for Residency does not imply or guarantee residency at The Baptist Home. The Baptist Home reserves the right to refuse admission to any person whose needs cannot be met by the facility.

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