Residential Application Part II
Thank you for filling out the form for the residential application. We have received your application and would like you to continue the process by filling out Part II of the application below. Or you can click the button to download, print and mail or fax the completed application.
Address: P.O. Box 1484
Vero Beach, FL 32961
We trust God to bring to the Women’s Refuge all who will find healing and restoration through our program!
- After completing this portion of the application, we will contact the applicant via phone or email to make an appointment for the interview.
- After the interview, the counseling staff will make a decision whether the applicant is appropriate for our residential program at this time.
If you have special circumstances, please call us to fill out an application over the phone 772-770-4424.