Free and confidential services for persons affected by domestic violence and sexual assault. What to do about domestic violence
 
The Cedar Valley Friends of the Family "Friends' House" provides shelter, hope, and healing for families affected by domestic violence and sexual assaultSafety planning, anger management and self-esteem issues with children who have witnessed or experienced domestic violence or sexual assaultProject D.A.T.E. is broken down into four sections: domestic violence, healthy vs. unhealthy relationships, sexual assault/date rape, and sexual harassmentThe Turning Point Rural Housing Project works in partnership with existing human service agencies to provide needed support servicesWelcome to Cedar Valley Friends of the Family, A crisis intervention & prevention agencyStop abuse and violence

If you or someone you know needs help, please do not hesitate to call us or e-mail us. Our crisis line is operated by trained advocates 24 hours a day.

Crisis Line:
319-352-0037
or
1-800-410-SAFE

Turning Point Rural Housing Project

Application Form

Name:
Address:
City, State, Zip
County:
How long in service area?
Home Phone:
Work Phone:
Can We Call? Yes No
Best Time to call?
Emergency Contact Name:
Relationship:
Address:
Phone:
Military Service: Yes No
Branch:
Status:
Age:
DOB:
Ethnicity:
Gender:
Race:
Children  
1.
Name:
  Age:
  DOB:
2.
Name:
  Age:
  DOB:
3.
Name:
  Age:
  DOB:
4.
Name:
  Age:
  DOB:
How were you referred?
Intake Requirements  
Details of your situation:
Homeless Situation:
On the Street
(eviction received or pending)
Homeless: Shelter
Doubled Up -- Not by Choice
Substandard Housing
Personal Information  
Marital Status-
 
Single:
 
Married:
 
Separated:
 
Divorced:
 
Living Together:
 
Widowed:
 
Other:
Disability/Handicap:
Mentally Disabled: Yes No
Physically Disabled: Yes No
SSI/SSDI Benefits:
Where employed?
Number of hours/wage:
Other sources of
income/$:
Living Arrangements:
Applied for Section 8?
 
Domestic violence and sexual assault help
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