Your Journey of transformation starts here.

Please provide the information below as part 1 of your application process. Once submitted, part 2 of the application will be sent to the personal email provided.

Intake Acknowledgement

In order to maintain the highest degree of safety and respect for our residents, we have well-defined rules and guidelines (see our FAQ’s for details). Potential clients must understand that violating any of the following guidelines may result in immediate discharge and prevention from future enrollment in the program. We reserve the right to refuse admission to the program if potential clients cannot or refuse to adhere to the set rules and guidelines.

• The use/and or possession of cigarettes, pornography and drugs, including alcohol, is strictly prohibited.

• Threats or acts of violence against fellow residents and/or Wagner Hills employees are strictly prohibited.

• Residents must be able to participate in the program both physically and mentally. The program requires one to be emotionally able to participate in counselling sessions, group sharing, and chapel, and be committed to making healthy life changes.

Note: If you are being assisted by someone in the application process and do not have a personal email address, ask them to help you create one that can be used on this form and any further communications. It is important that the applicant use a personal email as it will become the unique identifier tied to the resident file at Wagner Hills.