Friday, 03 September 2010

How to Apply to Live at Brook Haven House

Step 1 ~ Create Your Brook Haven Profile

Please take a few minutes to tell us about yourself! Simply fill out our little profile form and send it off to us by pressing the "Submit" button. Your information is private and will not be given out to anyone, we promise.

Thanks!
 
name
nickname
age
birthdate
present address
phone
 - -
email
myspace
facebook
other
school status
last grade completed
relational status
children

 

In an emergency, who would be the first two people you would want us to call?
Contact 1:
  
name
address
phone
 - -
email
Contact 2:
  
name
address
phone
 - -
email
 
So what's going on and how can we help you?

click to create your private profile
Joomla Professional Work
CONTACT US

Joan Sherwood, House Mom
493-1735 - week days
joan@bhhhome.com

SUPPORT US

Your donations provide literal "Life Support" for young lives... become a member of our Precious Life Club.

[online donations coming!]

FIND US
423 State Street
PO Box 44
Carthage NY 13619
[click for directions]