Before filling out this application please read the Springboard Parent Handbook
Stop. You can not submit this form or proceed with the program until you've spoken with the potential student.
Our program is designed for girls who are interested in recovery. We are not a lock down facility and require willing participation from our students. If the potential student is not interested in recovery at this time, please contact our intake coordinator and she can help you with finding other resources.
The faith-based approach of Teen Challenge and TCAZ, Inc. is that merely abstaining from addiction will not provide a lifetime of success; however, success can be achieved by replacing those addictions with a fulfilling and life-affirming experiences with Jesus Christ. In other words, we believe that the void which people often attempt to plug with addictions can be filled, instead, with a new identity in Christ.
The Statement of Faith does not exhaust the extent of our beliefs. The Bible itself, as the inspired and infallible Word of God that speaks with final authority concerning truth, morality, and the proper conduct of mankind, is the sole and final source of all that we believe. For purposes of TC’s faith, doctrine, practice, policy and discipline, our Board of Directors/Executive Management Team is TC’s final interpretive authority on the Bible’s meaning and application.
I have read and thoroughly understand the general Springboard program guidelines outlined in this handbook. By entering my student into the Springboard program, and by my signature here, I agree to follow the rules outlined in the handbook as well as the instructions that are given to me by the staff of Teen Challenge of Arizona and the Springboard Home for Girls.
I agree that if I have questions about this handbook and the program rules at any time while my student is staying at Springboard, I can ask a staff person and they will be explained to me.
I understand that I have sought out the help of the Springboard staff and am entering into a partnership with them to help my student during this time. I agree to participate in any way to make this happen.
All the information in this application is true and complete to the best of my knowledge. If asked by an authorized official of Teen Challenge of Arizona/Springboard, I agree to submit proof of the information that I have given on this form. I also realize that if I do not give proof or if I fail to respond to written inquiries for additional information when asked, I may be denied program entry for my daughter.
I understand that Teen Challenge of Arizona/Springboard program is a program that helps young women, ages 12-17 with a variety of issues, including, but not limited to, life-controlling substance addiction, abuse, neglect, sexual misconduct, defiant behavior, and self-mutilation. Springboard reserves the right to refuse program admission if they feel that the program they provide would not be well suited for my daughter’s medical or other needs. I also understand that my participation is required and expected and that I am committing to being a partner with Springboard in the program process.
Furthermore, I understand that Teen Challenge/Springboard is a faith-based program and does not employ medical or psychiatric professionals. All counseling, curriculum, and care is ministry-focused.
I understand that admission to Springboard is available to applicants regardless of race, color, and national or ethnic origin.
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