Move Here

Long term protective housing and counseling support for abused women and their children

(204) 982-2011    z Box 37015 , Winnipeg, MB, R2M 5R3    z alphahse@mts.net

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If you are interested in moving into Alpha House, but would like to speak to someone before making the decision, please call our office at (204) 982-2011.

REFERRAL FORMS AND APPLICATION PROCESS

If you feel like you have enough information and would like to apply,  please print off, complete, and return the forms below via fax or mail.  Please do not email your application form.  

Agency Referral Form  To be filled out by any agency currently working with you

Applicant Referral Form To be filled out by you, the applicant

Both forms are preferred and assist in the application process, but if you do not have an agency currently working with you please do not hesitate to fill out the applicant referral form and send it in.

The second step, after your application has been received and reviewed, is an interview.  This provides an opportunity for the Director to meet directly with you, the applicant, to further understand your story and decide if our services will benefit you.