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Pregnant Woman by Birch


  • Proof of pregnancy

  • Age 18 or older

  • Completion of entire application process, including but not limited to, one interview

  • No history of severe mental illness (case by case evaluation)

  • No current substance abuse/addiction (case by case evaluation)

  • Agreement to adherence to guidelines and rules of Martha's House of Hope

  • Willingness to share a home with others

  • Agreement to attend mentoring and counseling while at Martha's House of Hope

  • Agreement to follow rules and guidelines of Martha's House of Hope

If you meet the requirements listed above and agree to the rules and guidelines of Martha's House of Hope, please complete the housing application below or utilize the inquiry form button and we will contact you. We look forward to supporting you on your journey through pregnancy and beyond. 


This form will serve as the beginning steps of gaining information and application to Martha's House of Hope.  By filling out this form, you are not committing to enrolling in Martha's House of Hope's program.

Current Living Situation
Are you in danger from anyone? Boyfriend, etc.
Can you pass a UA? It will check for all drugs including marijuana.
Do you want to improve your life for your baby and yourself?
Are you ready to work to become the best mom you can be?
Are you brave enough to make changes necessary to put your life back on the right track?

Thank you for submitting your information. We will be in touch soon!

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