Fields marked with an * are required

 

We are currently accepting applications from individuals who meet the following criteria:
  • Fathers between the ages of 16 and 62
  • Fathers who are residents of the State of Michigan

Please note that we are unable to admit fathers with current mental health and substance abuse challenges.

Applicant Information

 

 

Children

Please provide information on all of your children.

Child 1
Child 2
Child 3

Current Employment

Affiliated Ministries

Disclaimer, Release, Waivers and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to an acceptance, I understand that false or misleading information in my application or interview may result in my release.

I release all criminal, medical, and financial records to Family Assistance for Renaissance Men (FARM).

Furthermore, I assign and grant temporary Power Of Attorney to FARM for the purpose of assigning property, guidance counseling and allowing its professionals to intervene on my behalf.

I agree to allow FARM to act in my stead and on my behalf. I further understand that Christian principles and biblical based counseling is required as part of the FARM program.