DP - APPLICATION

DISCIPLESHIP PROGRAM APPLICATION

 

Read Before filling out the application:

 

The Discipleship Homes at Agape Life Gardens are designed for individuals who are ready to step into long-term transformation through Christ-centered discipleship, accountability, and community.

This is a one-year residential discipleship program focused on helping you grow spiritually, emotionally, and practically — building strong foundations for lasting change through intensive mentorship and Christian discipleship.

 

We are a Christian Discipleship program where Jesus Christ is the Chief Cornerstone of our faith.

 

Acceptance into the discipleship program will require that you have the following:

Good standing at your current church, rehabilitation program, or organization.

Letter of recomendation from a pastor, counselor, christian mentor, or program director.

At least three consecutive months of Sobriety from all substances, including but not limited to:

Narcotics, Alcohol, Controlled Substances, Nicotine, THC, CBD, etc.

 

This program may be a good fit for someone who is:

Ready to commit to a year of structured discipleship.
Seeking freedom from addiction or destructive patterns.
Desiring accountability, mentorship, and spiritual growth.
Willing to live in community and follow house guidelines.
Open to becoming who God created them to be.

 

Residents will experience:

Daily Bible study and discipleship
Accountability and mentorship
Life skills development
Healthy routines and structure
Community living centered on Christ
Opportunities for service and growth

 

Taking the next step can often be a tough decision.
If you’re unsure which path is best for you or someone you love, we invite you to reach out. We are happy to listen, answer questions, and help guide you in your journey.

You don’t have to have all the answers — just a willingness to begin.

 

If you are ready to start your application process, continue reading.

 

 

APPLICATION PROCESS:

1) Complete online application and submit 

2) Complete a phone interview with the program Director

 

PRE -APPROVAL:

1) Provide a letter of recomendation from your Pastor, mentor, counselor, or program Director

2) Complete a 1,000 word that includes why you want to be at the Agape Life Gardens Discipleship home, what you hope to accomplish during your stay, a 3-month/6-month/1-year goal list, and some of your testimony.  

3) There is a $200.00 non-refundable application fee that covers the inital costs of entry (drug test, background check, admin fees, discipleship material)

 

STEPS AFTER APPROVAL:

1) Complete intake process via skype or in person at our office. Background check will be submitted at this time. 

2) Prior to admission you must have two weeks PROGRAM FEES for entry.  Program fees include services that we believe help you deepen your walk in Jesus that include stable housing environment, some transportation, mentorship, and assistance with job placement. 

 

ADMISSION PROCEDURE:

Within 24 hours of admission into the Discipleship program, you will be required to complete an onboarding session to read over the rules and regulations, set your goals, and recieve your Discipleship Material. Once read you will have to sign that you understand and make a commitment to follow the discipleship home rules and regulations.

 

Important Disclaimer:  We do not accept individuals that have been convicted of Arson or any type of Sexual Crimes.


 

We are excited to see you here and we can not wait to help cultivate your growth and deepen your relationship with Jesus Christ. 

 

Click next to

START YOUR JOURNEY!

General

Tell us about yourself

What is your first name?
Client first name
What is your middle name? No middle name? Move on to the next question.
Client middle name
What is your last name?
Client last name
When is your birthdate?
Client birthdate
What is your race/ethnicity?
Client race
What is your gender?
Client gender
What is your marital status?
Client marital status
Are you a veteran?
Client veteran
Do you have a Drivers License?
Checkboxes
Drivers License #?
Number field
State Driver's License Issued in?
Text field
Do you own a vehicle?
Checkboxes
Do you have vehicle insurance?
Checkboxes
You must have a valid driver's license and insurance to drive while at Agape Life Gardens.  

Contact Information

How can we reach you?

What is your email address?
Client email
At what phone number can we best reach you at?
Client phone
Street Address:
Client Address

Contacts

Give us a few people that we can reach out to in case of an emergency.

Contact
Do you have a pastor or mentor? 
Checkboxes
If yes, please provide their name and contact information
 Contact
 

Insurance

Enter your insurance provider(s).
 

Insurance

Medical History

Tell us about your medical history.

When was your last relapse date?
Recovery history 1 relapse date
What is your substance(s) of choice? Add multiple by clicking in the box and selecting different options
Client substances of choice
Have you been clinically diagnosed with anything? Add multiple by clicking in the box and selecting different options
Client diagnosis
Do you have any health problems? Add multiple by clicking in the box and selecting different options
Client health problems
What kind of meetings do you attend? Add multiple by clicking in the box and selecting different options
Client kinds of meetings attended
What allergies do you have? No allergies? Move on to the next question.
Client allergies
 

Have you had any of the following tests?

Medical Tests
 

Medications

List the medications you are currently prescribed.

Medication

Treatment Centers

Tell us about any treatment centers you've previously been admitted into.

TreatmentCenterHistory

Client Referral Source

 

Who referred you to us?
Client Referred By

Sober Living History

Tell us about any sober livings you've previously been admitted into.

SoberLivingHistory

Employment

Tell us about your employment status.
If you're currently unemployed select "unemployed" under "type"

EmploymentHistory

Living Arrangement

Tell us about your living arrangement prior to moving into this facility

LivingArrangementHistory

 

Leagal Information

Have you been convicted of Arson?

Checkboxes

Have you been convicted of a Sexual Crime?

Checkboxes

Have you been convicted of any felonies?  

Checkboxes

If your answer is yes, please explain your convictions. 

Paragraph

Are you currently involved in any court cases or legal actions?  

Checkboxes

If your answer is yes, please explain what legal issues your are involved with.  

Paragraph

Are you currently on probation or parole?  

Checkboxes

 

If your answer is yes, please list the county and contact information for your probation/parole officer.

 Probation

IMPORTANT NOTICE: Please read before signing

The Agape Discipleship Home is a sober living home which requires expulsion without prior notice or refund of program fees of any member who is found to be:

1. Using alcohol or any Illlegal or Legal drugs that are not permitted

2. In possession of alcohol or any Illegal/Legal drugs that are not permitted

3. Using any form of nicotine products (cigarettes, vapes, gums, patches, etc...)

4. Stealing of any kind from residents, staff, or the Agape homes

5. Engaging in violent behavior physically or verbally

6. Engaging repeatedly in disruptive behavior

7. Using any CBD, Delta 8/9/10, or any other form of CBD/THC products.

7. In default of weekly membership fee payments over the amount of $375.00 

 

All members of the Agape Life Gardens pay for program fees.  I understand and agree that I do not have renter's rights of tenants pursuant to the Alabama Property Code, and expressly waive any such rights in exchange for membership privileges. I also agree to abide by the responsibilities and commitments of the house and fully subject myself to the rules of the program.  

By signing below, I state that I have read the above notice and understand that I am applying for membership at the Agape Life Gardens Discipleship Program. I also certify that the information contained in this application is true and accurate to the best of my knowledge.  

Applicant's Signature:

Signature