What We Believe
Mission and Vision
The purpose of The Ark is to bring Jesus out of the Bible and into the hearts of men in addiction.
The first step in the process is filling out the application once completed we will follow up with a phone interview.
Date Of Birth
Social Security Number
Do you currently have any pending legal matters?
Are you currently or have you ever been same sex attracted?
Are you married?
Do you have any children?
Do you have any medical concerns?
Do you attend church?
If yes, where?
Describe why you want to enter a christian program.
Why would you be a good candidate for the Ark?
Describe what has led you to fill out this form.
By checking this box , you are stating your understanding of the above paragraphs. This is the electronic equivalent of your signature.