Discipleship Home Application

Start the application.

The full application asks for personal, legal, medical, and recovery information. This downloadable version keeps that information in the existing application process rather than sending sensitive data through an unsecured website form.

Current application

Download. Complete. Submit.

The application packet you provided was revised November 1, 2024. It includes the application, “Tell Us Your Story,” temporary release authorization, and the Discipleship Home Resident Covenant.

Submission instructions in the application:
Email completed documents to dean.c@nextchapterlacrosse.org or mail them to Next Chapter La Crosse, PO Box 535, La Crosse, WI 54602.
Print the Application

The application includes health, recovery, criminal-history, and other sensitive information. Therefore, you need to print the application and fill it out.