Alpha House I Application

Alpha House II Application

Click here to download a PDF for more details on our program

Children referred to Alpha House will be those children receiving services from the local Department of Social Services, Juvenile Justice Department, Court Services Unit, or other child placement agency. Each referral is evaluated on an individual basis. Tools for evaluation will include information and documentation provided by the referring agency, applicant interview, and pre- placement visit. Acceptance and participation in the Alpha House Program are the same for all applicants without regard to race, religion, disability, sexual preference, or national origin.

Placement at Alpha House is funded by the Comprehensive Services Act. Private pay placement is not accepted.

To make a referral to Alpha House the following information must be submitted for initial consideration: Application form (can be accessed online or via fax)

  • Social History
  • Medical history with immunization record
  • Educational information/ transcript
  • Psychological evaluation
  • Court documentation
  • Discharge summaries from previous placements
  • Social Services service plan
  • Copy of Birth Certificate
  • Copy of Social Security card

Population served: Alpha House provides residential services to teen mothers (12-17 years) and their children (newborn to age 4 years) at Alpha House I and Adolescent females exclusively 12-17 years of age at Alpha House II. The children served are in need of independent living skills, counseling services, parenting skills, educational and vocational training, and a host of other needs. Alpha House I provides a home-like environment where the teen mom and child can remain together while abilities to parent are developed in a safe and nurturing environment within the community. Services are provided to applicants who have been diagnosed as having physical, developmental, emotional, and mental health concerns. Those receiving services from Alpha House are individuals with issues with respecting authority, truancy, manipulation, stealing, lying, behavior problems, anxiety disorders, etc. Applicants who would not be appropriate for services are those actively psychotic, fire setters, sexual predators, sex offenders, and any combination of difficulties that would make a community based residential placement an unsafe environment for the youth or community.

Contact Information

Alpha I: 804.861.0596
Alpha II: 804.861.0533

Fax: 804.861.1239

Ms. J. Marshall, Director
Cell: 804.539.4612

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