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Ranch House mother holding baby feet

DO I QUALIFY?

APPLYING TO THE RANCH HOUSE

The Ranch House serves adult, female survivors of sexual exploitation who are single or pregnant or have young children in their care. If you can answer "yes" to each of the following questions, we invite you to apply.

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  • Are you a biological female?

  • Are you over 18?

  • Are you comfortable with a faith-based program?

  • If relocating from another state, are you legally permitted to relocate?

  • Are you comfortable with locating to rural Iowa?

  • Have you ever experienced sexual exploitation? For example, were you ever required to have sex to meet your needs or in exchange for something of value (money, food, shelter/housing, substances, gifts, and/or favors)? Did someone threaten to harm you, your family or someone else if you did not preform sexual acts?

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If you'd like to apply, please fill out the application form below.

Client Application

Welcome to Garden Gate Ranch, If you are interested in progressing from healing to readiness for transitional living housing placement, please fill out the application below and one of our Case Managers will be in touch with you soon!

Consent to Share Information*

By checking this box below, you voluntarily give your consent for Garden Gate Ranch to collect, use, and share information you provide for the purpose of program eligibility, care coordination, or referral services. Your information will only be shared with authorized individuals or organizations directly involved in supporting your needs and will be handled in accordance with applicable privacy laws and confidentiality policies. You may withdraw your consent at any time by contacting us in writing.  

Please use the dropdown
Date
Month
Day
Year
I am making a referral for:
Myself (skip next section)
Someone Else

Referral Agency

Multi-line address
I am:
How long have you known the Candidate?

Applicant Information

Are you over 18 years old?
Yes
No
Do you have a valid Driver's License?
Yes
No
Do you have a working vehicle?
Yes
No
What is the Candidate's English Literacy?
Sex at birth?
Current Gender Identity?
Best way to contact you
Does the Candidate have children?
Do any of the following medical/mental health needs apply to the Candidate?
Does the Candidate have any disabilities that inhibit functioning?
No
Yes
Do you have any allergies or dietary restrictions?
Yes
No
Do you have any allergies to animals such as: horses, dogs or other animals that you might encounter as a part of therapeutic services such as Equine or Canine therapies?
Yes
No
Are you a victim of human trafficking?
Are you still in contact with any of your trafficker(s)/abuser(s)?
Do you have an active or filed police report against your trafficker(s)/abuser(s)?
How was the Candidate's sexual exploitation/trafficking verified?
Do any of the following legal issues apply to the Candidate?
What level of supervision would be appropriate for the Candidate's needs?
Is the Candidate willing to work a program that offers Christian/faith-based activities and practices?
Has the Candidate expressed interest in this program?
What duration of stay is the Candidate seeking?
After review of this application, our agency will contact you and schedule a phone or video call with the Candidate. What is your preferred method of contact?

ADDITIONAL NATION-WIDE ASSISTANCE

FILL OUT A RAPID REFERRAL FORM HERE

If you feel you have experienced sexual exploitation but don't fit all of the above listed criteria, please utilize the rapid referral form.

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NATIONAL HUMAN TRAFFICKING HOTLINE

1-888-373-7888

ADDITIONAL IOWA-SPECIFIC ASSISTANCE

POLK (& WARREN) COUNTY CRISIS & ADVOCACY SERVICES

https://www.polkcountyiowa.gov/community-family-youth-services/community-and-family/crisis-advocacy-services/

515-286-3600
 

IOWA VICTIMS SERVICES CALL CENTER

http://www.survivorshelpline.org/

1-800-770-1650 or text ‘IOWAHELP’ to 20121

 

ACCESS (IN AMES)

https://www.assaultcarecenter.org/

1-855-983-4641

 

CRISIS INTERVENTION & ADVOCACY CENTER (IN ADEL)

https://supportingsurvivors.org/

515-993-4095 or 1-800-400-4884

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