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Recovering Gracefully Homes Application
216 East Georgia Ave Ruston, LA 71270
Please provide the following information for use by Recovering Gracefully Homes in assessing eligibility into our home(s). Disclosure of criminal records will not disqualify you. Type or print all information.

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Name
Are you currently homeless / without a permanent place to live?
Current Address
Do you have transportation?
Please enable JavaScript in your browser to complete this form.
1
2
3
4
Name
Are you currently homeless / without a permanent place to live?
Current Address
Do you have transportation?

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Healing is a journey, and we are here to walk beside you. At Recovering Gracefully Homes, we provide a safe and supportive environment where you can regain strength, rebuild confidence, and start a new chapter in life.

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