12Plus1 Program application

Thank you for applying to 12plus1.  The form below is to be used whether you are applying for Just Work or Discovery House.  Submitting your application will begin a process of discernment that will include interviews, letters of recommendations and making a short video.  It is imperative to insure that this is the right experience for you, 12plus1 and service sites.  We use a rolling admission process and will accept applications until our program is filled.

“Be patient toward all that is unresolved in your heart and try to love the questions. Do not now seek the answers, which cannot be given to you because you would not be able to live them. Live the questions now. Perhaps you will then gradually, without noticing it, live along some distant day into the answer.”

— Rainer Maria Rilke
Name *
Name
Address *
Address
What is your current mailing address?
Phone *
Phone
DOB *
DOB
Which program are you applying? *