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Online Application Form

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Applying to Teen Challenge is quick and easy. Just fill out the information required below and submit your application along with the processing fee. Acceptance of an applicant will not be determined until all components have been received by Teen Challenge.

If you are accepted, you will be placed on a waiting list pending available space. When a bed becomes available, your entrance day will be scheduled. To maintain your position on the waiting list, you are required to call the centre weekly to demonstrate your continued interest in the program.

STEP 1

Provide us your contact information.
STEP 2

Tell us about yourself and your current circumstances.
STEP 3

Submit your application. Allow 72hrs for response ...easy as 1,2,3!
Step 1
Centre Applying To

Contact Information

Emergency Contact Information

Page 1 of 2

Go To Step 2