Scholarship Aid

St Joseph Institute provides scholarships and loans to assist those seeking treatment for addiction and other mental health issues. The determination of support is based on need and ability to pay. All financial assistance is applied toward the cost of treatment at the Institute. Serivces and products purchased on behalf of a resident that are not part of the regular program (e.g., laboratory testing, medications, chiropractor visits, etc.) are not covered with the financial assistance from the Institute.

If you would prefer to download a PDF version of this application please click here.

Name of the person seeking treatment?
	A value is required.*
Occupation

Place of Employment
	(If currently unemployed, please indicate this in the field above.)
Please provide your general contact information below.
Telephone:	A value is required.*
Email Address:	A value is required.*
Zip Code:
Name(s) of wage earner(s) in household:

Number of family members at home:
	A value is required.*
Combined Annual Income:
	A value is required.* (Note – Further documentation may be necessary to confirm information provided.)
Additional information that you would like us to consider (such as a financial hardship or other circumstances).

You must certify that the information provided above is accurate.
	You must certify the accuracy of this form! Yes, the information contained above is both accurate and complete. I understand that falsification of this information may result in the loss of any scholarship aid.
	Please key in both words that you see in the image below. If you cannot read the image, you can hit the 'refresh' button on the side below to generate two new words.

Please note that required fields are indicated with an asterisk (*).

Compare St Joseph Institute to other treatment facilities and see the real difference in healing.
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We offer a holistic approach to healing and recovery.
A Holistic Approach

Our addiction treatment plans are indvidually tailored to each person's specific need.
Treating Addiction

Real results in the words of real patients.
Testimonials

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