Evermore Resident Application Form

resident application form

the evermore house

(scroll down)

Hello and welcome to The Evermore House Resident Application Page!

PLEASE READ THIS IN ITS ENTIRIETY BEFORE FILLING OUT THE APPLICATION!

We are SO very excited to welcome you to #TheUW and all that it has to offer! Our 501(c)3 non-profit is based here in Chattanooga and we are so very thrilled to announce the opening of our Evermore Safe House!

Here you will find the first step in our three-step application process. This begins your journey to generational change!

The Evermore House is a Christian-based safe house that can house up to fifteen women and children at a time. While in the house, residents have access to free housing, food, counseling, job placement opportunities, health and wellness programs, etcetera, all for the lifelong benefit of the woman and the generations that follow her.

At our soft launch we will be opening at half capacity and some benefits will be unavailable. In the calendar year of 2022, we are prioritizing taking in families: women with children. We will be accepting single women with no children at the full-opening of the house in 2023 if funds allow.

If you’d like to go ahead and get on the wait list, please fill out the form below. We will process your application and reach out with the following steps.

THIS IS NOT EMERGENCY HOUSING OR TEMPORARY SHELTER.

The Evermore is a one year long rehabilitation program open to all women of all backgrounds. The hallmark of our program is that we have no requirements on the background of the woman attending. It doesn’t matter if you’re coming from homelessness, addiction recovery, domestic violence, or if you’re just a woman who is down on her luck and needs a helping hand– everyone can find a home at The Evermore.

The application process for the house takes around a month, so please set your expectations accordingly, Someone from our team will try to reach out within a few weeks of receiving your application to let you know if you have qualified for the next step of the process.

If you don’t hear back from us, or if you’d just like more information about the house, you can always email us @ theunmarriedwifeministry@gmail.com or check out our Evermore tab here.

Since space at the house is limited, we recommend filling out the application as soon as possible. Even if there’s no room now, we can put you on a waiting list for you to possibly join later.

If you or any of your family members would like to give to support the vision, you can give via VENMO/CASHAPP @theunmarriedwife or you can visit our DONATE PAGE to give online via credit or debit card.

Thank you for joining us in this endeavor and we hope to see you soon!

Scroll down to apply

WARNING: NAVIGATING AWAY FROM THE APPLICATION WILL DELETE YOUR PROGRESS.

Please note that lying or misrepresenting information on the form below will result in immediate disqualification from the program AND THE INABILITY TO LATER APPLY– NO EXCEPTIONS.

we ask questions to understand your specific needs, not to disqualify you from receiving help. please be honest so that we can serve you more fully.

-The team at The Unmarried Wife

Please note that at this time, due to staffing and budget restrictions, we are currently unable to take in any individuals that meet one or more of the following restrictions:

Unfortunately, we have no openings at The Evermore House and will not have any new
resident spots available until March of 2024.

Please check back at a later time to see if more resources have become available.

Please note that at this time, due to staffing and budget restrictions, we are currently unable to take in any individuals that meet one or more of the following restrictions:

- women without a mode
of reliable transportation
(like a car or motorcycle,
bus services do not count
as transportation)

- women currently relying
on any psychotropics, mood
stabilizers, antipsychotic
drugs, or other
medications that would
otherwise affect mental
capacity; who are
medically unable to come
off of those medications
for the full duration of
the program. all other
drug classes and medically
necessary medications are
fine.

-women currently in active
addiction.

Please check back at a later time to see if more resources have become available.

Please note that at this time, due to staffing and budget restrictions, we are currently unable to take in any individuals that meet one or more of the following restrictions:

- women without a mode of reliable transportation (like a car
or motorcycle, bus services do not count as transportation)

- women currently relying on any psychotropics, mood stabilizers,
antipsychotic drugs, or other medications that would otherwise
affect mental capacity; who are medically unable to come off of
those medications for the full duration of the program. all
other drug classes and medically necessary medications are fine.

-women currently in active addiction.

Please check back at a later time to see if more resources have become available.

warning: navigating away from the application will delete your progress.

Please note that lying or misrepresenting information on the form below will result in immediate disqualification from the program AND THE INABILITY TO LATER APPLY– NO EXCEPTIONS.

Name *

First

Middle

Last
Email Address *
Phone Number *
How did you hear about The Unmarried Wife / The Evermore House? *
Birthdate *
Have you applied for The Evermore House Program before? *

Yes No
Do you have children that will be joining you at The Evermore House? *

Yes No
If you checked yes to the above answer, please provide their full legal names and birthdates, separated by commas
Marital Status *
Current or last address (if currently homeless, please specify) *
Length of residency (in approximate months or years) *
Are you a U.S. citizen? *
Do you have a copy of your birth certificate? *
Do you have a copy of your Driver's License or State I.D.? *
Do you have a copy of your Social Security Card? *
Reason for application *
What would you consider your faith, and where do you see yourself spiritually? *
What are your five year, ten year, and lifetime goals? *
Why do you think that you're a good fit for this program? *
What separates you from the other applicants? *
Do you take prescription medications? If yes, please specify what and how often *
Do you have allergies? If yes, please specify *
Do you have any disabilities or special needs that would need accommodation? If yes, please specify *
Are you currently or do you expect to be pregnant while in residency? *
Do you have pets? *
Do you have a car or means of transport? *
Do you have any illness (mental or physical)? If yes, please specify *
Have you ever been diagnosed with any of the mental illnesses listed below? Check all that apply *

Anxiety Bipolar Depression Antisocial Personality Disorder Borderline Personality Disorder Multiple Personality Disorder Obsessive Compulsive Disorder (OCD) Schizophrenia
Are you currently employed? If yes, where at and how often do you work? *
If you are employed, what is your monthly salary?
If you are unemployed, do you have the capacity/willingness to work?
If no, why?
Please name your last three places of employment and the approximate dates spent at each place of business *
Have you been, or are you currently struggling with addiction (including, but not limited to addictions related to drugs, alcohol, or nicotine)? *
Are you in active addiction (including, but not limited to addictions related to drugs, alcohol, or nicotine)? *
If you have been or still are in active addiction, please specify whether or not you have gone through a recovery program(s), what they were called, what dates you were there for, and if you graduated
If you have been or are in active addiction, please indicate what substances you used and the frequency in which they were used
If you have been or are in active addiction, when was the last time that you did drugs?
Do you currently use tobacco or nicotine products, including but not limited to: cigarettes, cigars, swishers, vapes, dip or chewing tobacco, or patches? *
If you answered yes to the above question, please specify what products you use and how often
Have you ever been arrested? Please include all charges, including those that were dropped or expunged. *
If yes, was it a misdemeanor or a felony charge?
If you answered yes to the questions above, please specify on what charges and when they were committed
Are you currently on probation or on parole? *
If you said yes to the answer above, please specify on what charges and when they were committed
Do you have a high school eduction, GED, or higher? *
Do you regularly attend church anywhere? *
If you answered yes to the above question, please provide the name and location of the church that you're attending
Please provide the names, phone numbers, and relationship information for three (3) references, separated by commas *
Do you have anything to add or any comments to include?