Finalize and submit your application by reading the agreement, electronically signing below and clicking the SUBMIT Button
NON-DISCRIMINATION: The Family Healing Center, Inc. (FHC) does not discriminate against any person in the provision of services or in any other manner on the grounds of race, color, ethnicity, creed, religion, sex, national origin, sexual orientation, gender identity, citizenship, marital status, familial status, ancestry, age, disability or veteran status. If you feel like you have been discriminated against by FHC, please contact the Executive Director immediately at 606.548.1502.
CONFIDENTIALITY/PERMISSION STATEMENT: By signing below, I hereby state that all of the information on this application is true, correct and complete to the best of my knowledge. I also give FHC the right to check my criminal background information. I hereby agree to assure the confidentiality of other program participants and applicants at FHC. I understand and agree that my application and file may be reviewed by FHC funders and any other funders who have a legitimate interest.