Women in Transition TULSA Neighbor Application

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Branch 15 (see below)
Christian Helping Hands
Dunamis House
God's Provider
His House
OBCH
Private Housing
Other
Harvest House in Tulsa
Journey House in Owasso
African American
Asian
Caucasian
Hispanic
Native American
Other
Blended

Yes
No

Yes
No
Yes
No
Doesn't apply to me
Reunification (Children Living With You)
Reunification (Have a Relationship with your children)
Visitation
Joint Custody
Termination of parental rights
Doesn't apply to me
Family member, guardianship
Family member, kinship foster care
Foster care, non-family
DHS shelter or residential placement
Doesn't apply to me
Single
Legally Separated
Married
Divorced
Widowed
Yes
No
Not married

Violent Crime
Robbery
Drug Related
Other
Probation
Parole
Neither

Yes
No
Yes
No
Yes
No

Yes
No
Yes
No

Yes
No
High School
GED
Associates Degree
Bachelors Degree
Other
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