Program application

Apply to Faith Home Restoration

Faith Home Restoration is a Christ-centered recovery home for women seeking freedom from addiction and a safe place to begin again. This page is the application. You do not need a Google account or a separate document.

Talk with Amy

Amy Crawford is the house manager and administrator. She receives each application.

(512) 552-3259

amycrawford@faithhomerestoration.org

Who the home serves

The home serves women who want freedom from addiction and a new foundation for life. It offers structure, encouragement, spiritual growth, and practical guidance in a safe and supportive environment. Faith Home does not publish a scored eligibility checklist. Amy reviews each application.

How to apply

Read what life at the home is like below.
Complete the application on this page.
Submit it. Amy receives the full application by email, you receive a confirmation, and a backup copy is stored.
Amy follows up by email or phone.

What to expect

Women live in community with accountability and steady encouragement. Daily rhythms include prayer, Bible study, and Christ-centered encouragement, along with guidance toward routines, responsibility, and independence. Volunteers help with mentoring, prayer, transportation, computer support, resumes, and day-to-day encouragement.

The questions below are the Faith Home program application. The paper copy says to mail it to Amy J. Crawford, 1511 White Post Rd., Cedar Park, TX 78613, or call (512) 552-3259. Fields marked with * are required. You can leave the Social Security number blank.

Personal information

Last name *

First name *

Middle initial

Address *

City *

State *

Phone number *

Email address *

The paper application does not ask for email. We need it so Amy can reply and so we can send your confirmation.

Social Security number

Optional. The paper application asks for this. Leave it blank if you would rather share it with Amy another way.

Driver's license state

Driver's license or ID number

Driver's license expiration date

Date of birth

Age

Referral information

Who is the referral or contact person?

Referral telephone number

Employment

List up to three employers, the dates you worked there, and why you left.

Employer 1

Employer 1 dates employed

Employer 1 reason for leaving

Employer 2

Employer 2 dates employed

Employer 2 reason for leaving

Employer 3

Employer 3 dates employed

Employer 3 reason for leaving

Are you currently employed?

Yes

If you are employed, what type of work is it?

Full-time

Part-time

Temporary

Permanent

What other types of work have you done?

What is your long-term goal for employment, and what is your plan to reach that goal?

Which of the following makes it harder for you to find work? Check all that apply.

History of drug/alcohol abuse

No work history

Child care

Physical/mental health

Criminal history

No resume

Transportation

Education

Other

If you checked Other, please describe it

Education

What is the last year of school you completed?

Do you have your diploma or GED?

Yes

Other types of training or education

What is your educational goal?

The last year

Have you experienced any of the following in the last year? Check all that apply.

Birth of a child

Marriage

Separation

Divorce

Legal problems

Loss of job

Death of friend/family

Severe illness

Loss of housing

Safety and treatment

Have you been sexually, mentally, or physically abused?

Yes

Please describe treatment received for this

Family and support network

Do you have children?

Yes

Children's names and ages

Who do you rely on when you need help?

Family members

Local church

Support groups

Others who support you

Legal issues

Do you have legal problems (for example divorce, child custody, or CPS)?

Yes

If yes, please explain

Are there any warrants out for your arrest?

Yes

If yes, what for?

Have you ever been convicted of a felony?

Yes

Have you ever been convicted of a misdemeanor?

Yes

If yes, what for and when?

Have you ever been on probation, parole, or incarcerated?

Yes

Are you on probation or parole now?

If yes, who is your probation or parole officer, and how can they be contacted?

Open Travis County CPS case?

Yes

Caseworker and phone number

Medical, dental, and mental health

Are you being treated for a medical condition?

Yes

If so, what is the condition?

Are you being treated for a mental health condition?

Yes

Are you taking any medications?

Yes

Medication 1

Medication 1 reason

Medication 1 dosage

Medication 2

Medication 2 reason

Medication 2 dosage

Medication 3

Medication 3 reason

Medication 3 dosage

Medication 4

Medication 4 reason

Medication 4 dosage

Medical insurance

Do you have health care coverage?

Yes

Name of policy or plan

Alcohol and drug use

Do you have a history of drug addiction or alcoholism?

Yes

If you are in recovery, how long have you been clean and sober?

What support services are you using to assist in recovery? Check all that apply.

Al-Anon

Sponsor

Therapy

Counseling

Celebrate Recovery

None

Please explain the support that applies to you

Tobacco and transportation

Do you smoke?

Yes

Do you own a car?

Yes

If yes, does it have current liability insurance, license, registration, and inspection sticker?

Yes

References

Please share two references.

Reference 1 name

Reference 1 telephone

Reference 1 address

Reference 1 relationship

Reference 1 years known

Reference 2 name

Reference 2 telephone

Reference 2 address

Reference 2 relationship

Reference 2 years known

Financial information

Monthly income and debts. Write 0 or none if something does not apply.

Monthly income: employment

Monthly income: unemployment

Monthly income: food stamps

Monthly income: Social Security

Monthly income: SSDI (disability)

Monthly income: other

Debts: unpaid rent

Debts: car

Debts: insurance

Debts: medical bills

Debts: phone

Debts: loans

Debts: fines

Debts: other

Faith for the future

The paper application includes these words: God says, "I know what I'm doing. I have it all planned out — plans to take care of you, not abandon you, plans to give you the future you hope for. When you call on me, when you come and pray to me, I'll listen." Jeremiah 29:10-11 (The Message). It also includes: "Delight yourself also in the Lord, and He will give you the desires and secret petitions of your heart." Psalm 37:3-5 (Amplified).

What are the desires of your heart for your life for the next month?

What are the desires of your heart for your life for the next six months?

How can we help you reach your destiny?

In your own words, describe your spiritual journey

How do spiritual practices impact your daily life?

Do you have a personal relationship with Jesus Christ?

Yes

If so, tell us about how this relationship began

Permission to review

The paper application asks you to sign this statement. The printed form contains two typos ("Restortion" and "Non-Profile"). The statement below keeps the same meaning with those typos corrected.

I understand that I am providing Faith Home Restoration, Inc. this information voluntarily and that it is strictly confidential. I give Faith Home Restoration Inc., a Texas nonprofit corporation, permission to verify all information.

Type your full name as your signature *

Date *

Amy Crawford receives this application by email. A backup is stored so the ministry can review it. See our privacy policy for how application information is used. Privacy policy.

We could not send that. Please check your connection and try again, or call (512) 552-3259.