Disclaimer and signature
By signing below, if approved in the program, I agree to full disclosure of all financial information of the household
with monthly review, being enrolled in state benefits as needed, attending ESL classes*, no smoking, drug or
alcohol use, all able bodied people in the house will be employed*, the house will be maintained to a clean and
organized standard, and all communication both written and verbal will be respectful, professional and prompt.
Your case will be reviewed at each monthly board meeting and can be terminated at any time if the rules below
are not met and followed. Once the board approves your application, you will have an approval meeting with a
board member to review the following. All information requested must be disclosed/provided at that time. If the
information is not provided this could delay your start in the program.
Code of Compliance and Ethics for Safe Haven Foundation Program that will be discussed during approval
meeting:
The following must be fully disclosed for reviewed during the approval meeting and updated as needed
throughout program participation:
- History
o What has brought you here?
o What is your medical history?
o Do you have current medical needs?
o Do you have a history of addiction or alcoholism?
o Do you have a history of violence or abuse of any kind?
o Do you have physical needs besides housing? Clothing, school, shoes, etc
- Full disclosure:
o House hold financials month to month
Pay stubs for all working individuals
Please disclose all expenses not limited to bills.
Bank statements to review spend outside of bills
What is your current savings strategy?
What are your financial goals?
Are you current enrolled in all possible state benefits?
Are you currently enrolled in Catholic charities?
- Employment:
o Are all able bodied people working?
If not – why?
- Are you currently enrolled and attending ESL classes?
o If not, why?
- The following will result is immediate termination of partnership:
o Alcohol use
o Smoking
o Substance use
o Gambling
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o Actions in any illegal activity of any kind
- Home inspection
o Cleanliness
o Organization
o Proper use of space
- Etiquette for communication
o Respectful
o Prompt (within 24 hours) response
o No cursing
o No sharing of personal information
- Recommended
o Involvement in local community
o Connect with other refugee families
o Obtain drivers license
