APPLY TO THE BURFOOT HOUSE: Program for Homeless Single Women

We welcome your application to the Burfoot House. The following links (red-lettered items below) include materials you will need to apply to the Burfoot House. Please note that the Client Handbook will provide you with a good overview of the program tailored to your personal growth and employment needs, as well as, requirements of the house to ensure peace while at the Burfoot House. All of our clients work, save, attend classes on-site, attend the church of their choice, and have the opportunity to develop self-sufficiency. 

Firstly, complete the New Client Intake Form and the Personal Information Form, and be sure to press the submit button. Based on the information you share, we will determine your eligibility and quickly submit a background check. If you have been cleared to move forward with our program, you will get an email back from us. If you don't receive an email back, you are not approved to move forward with our program. Only then are you to call CIBH - Chesapeake Integrated Behavioral Health between 7:30 am - 1:00 pm and have them complete the attached CIBH form (print and take with you). 

CIBH telephone number: 757.547.9334 (call today) 
CIBH Location: 224 Great Bridge Blvd, Chesapeake, VA 23320

Items you need to bring with you to the appointment:
* Photo ID
* Social security card
* Insurance information (IF you have insurance, bring the co-pay amount)
* Income verification pay stub or state no income
* You will be required to pay $5 if no income

Call Lisa Dixon, Executive Director of the Burfoot House, after your appointment tomorrow at 757.904.9758 cell phone.

Lisa Dixon, B.S. Psy., M.A. Human Service/Christian Counseling, SPHR
Burfoot House Executive Director
SVHC Governance Board Chairman
ABBA List President
CAST Advisory Board

ABBA LIst 501(c)3
PO Box 16325
Chesapeake, VA 23328
mobile: 757.904.9758
email: This email address is being protected from spambots. You need JavaScript enabled to view it.

New Client Intake Form
Medical Screen Form
Mental Health Screen Form
Personal Information Form
Client Handbook