We do realize that the questions below can bring up some very sensitive and personal issues. We want to emphasize that how you answer these questions WILL NOT BE USED AGAINST YOU. Your answers to these questions will not, in any way, prohibit your application from being considered. Due to the nature of this ministry, it is imperative that we gather as much information regarding the following so that we can provide the best care to the ladies we love and serve. Please be open to sharing in detail during the interview, if necessary.


Please complete the form below

Name *
Address *
Phone *
Birth Date *
Birth Date
Name, Phone Number, Relationship to you
Background Info
Personal History
Confidentiality is of utmost importance with FreedomGirl. The information that you disclose here will be kept in confidence and will only be viewed by key people with FreedomGirl.