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Victory Ranch Enrollment Form Instructions

Read & understand this enrollment form, the rules & structure of Victory Ranch entirely.
Complete the enrollment form truthfully and to the best of your ability.

Once we receive a completed application the enrollment process is usually less than 24 hours. If accepted, you will be enrolled on a first come first serve basis and according to bed availability.

Or Download PDF Application to Email

Victory Ranch's House Rules

Victory Ranch Enrollment Form

Step 1 of 10

Applicant Information
Date
Date Format: MM slash DD slash YYYY
Name*
First Last
Email*
Phone*
Gender*
- Male
- Female
Please note that we are NOT allowed to accept “sex offenders” or “violent felons” into our program. Victory Ranch will conduct a thorough background check of each applicant prior to enrollment.*
I confirm that I am not a sex offender and/or a violent felon.
Please affirm that you are filling out this application of your own free will.*
By checking this box you acknowledge your desire to enroll at Victory Ranch is your own free and voluntary will, and you are under no constraint or undue influence to enroll.
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General Rules and Daily Schedule Consent Page
Victory Ranch Discipleship Homes General Rules
Things to Bring:
1. King James Bible Only (No other bible versions will be allowed.)
1. MEN: You will need 7 pair of underwear and socks, 3 work shirts, 3 pair of work pants, 3 casual shirts, 3 pairs of dress slacks and button up dress shirts, at least 5 white t-shirts, a pair of work shoes, a pair of recreational shoes and a pair of dress shoes (no more than 3 pairs of shoes per student is allowed). You may also bring a suit for Sunday services.
1. LADIES: You will need 7 pair of underwear and socks, 3 bras, 2 dress slips, 3 church dresses, 3 jumpers and/or 3 skirt and shirt outfits. Bring a pair of work shoes and a nice pair of shoes for church (no more than 3 pairs of shoes per student is allowed), and proper hosiery.
1. ALL: There will be limited storage space for clothing and personal items. Each student’s belongings must remain neat and organized within the area assigned to them. No excessive accumulation of personal items or clothing will be allowed.
1. Personal hygiene items, towels, shower shoes and sleepwear
1. Alarm clock without a radio.
1. Complete Bedding- twin bed (sheets, blanket, pillow and pillowcase)
1. Proper ID: You must bring 2 forms of identification. If you do not have 2 forms of ID, please bring your birth certificate so that we might help you obtain proper identification while you are here.
1. Supplies
1. Paper
2. White, 1 inch three ring binder
3. 3x5 cards, pens, envelopes, stamps, etc.
Prohibited Items: I Corinthians 6:19
1. Cash over $20 (no cash allowed while on blackout or restriction). Each student will be held accountable as to how much money they’re spending and where they’re spending it. No excessive amounts of money will be allowed.)
1. Drugs/alcohol/pornography/tobacco.
1. Radios/Audio/Video Playing Devices.
1. Music or movies (music and movies will be provided by Victory Ranch).
1. Unauthorized Medications (must be pre-authorized by Victory Ranch)
1. Unauthorized medicinal sleeping aides (must be pre-authorized by Victory Ranch)
1. Men: Body jewelry including earrings is not permitted. Wedding bands, necklaces, and watches are acceptable.
1. Ladies: Jewelry must be worn in moderation. Piercings (earrings) may only be worn in each ear and they can only be worn in the lower lobe. Jewelry will not be allowed to be worn in any other piercing on the body.
1. Vehicles or bicycles
1. Cell Phones
(Medications for physical ailments approved for students will be kept by the staff and distributed daily as prescribed.)
Program Privileges:
Each Student will be on a blackout for the first 10 days of the program. After your blackout you will receive the following communication and visitation privileges with only those persons listed on the student’s “Approved Communications List” (ACL) and have been approved by Victory Ranch Staff. ABSOLUTELY NO communication with girlfriends, boyfriends, fiancés, or common law spouses will be allowed during the entire length of the program.
Phone Privileges
Unit 1 & 2 – One personal phone call per week on staff phone. Unit 3 & 4 – Two personal phone calls per week on staff phone. Unit 5 & 6 – Three personal phone calls per week on staff phone. Unit 7 & 8 – Four personal phone calls per week on staff phone.
- For the sake of others, please limit phone calls to l0 or 15 minutes.
- No text messaging is allowed (The staff also will not send personal text messages on your behalf).
- Additional phone calls may be earned through weekly positive action reports.
- Personal cell phones are NOT permitted.
- Students are not allowed to touch or use graduate’s personal cell phones.
- Only designated staff phones may be used by students for personal and/or professional phone calls.
Visitation Privileges
Unit 1 & 2 – One Saturday afternoon family visit per week at the ranch from 2pm till 8pm.
- All Saturday visitors at the discipleship home must leave no later than 8pm. (A video chat with those on the students ACL may be substituted for those with family out of state).
Unit 3 & 4 – All of the privileges of previous units plus the following:
One overnight visit per week with the student’s children at the ranch.
- Overnight visits and visitors must be pre-authorized by staff, 1 week in advance.
- All overnight visits will be from Saturday 9 AM till Sunday 9 AM.
*All visitors at the ranch must agree to abide by the rules of the program and be willing to subject themselves to drug and/or alcohol testing. Refusal to take a drug or alcohol test will result in the termination of the visit and the visitor will be asked to leave immediately. The visitor may also be removed from the student’s Approved Contact List (ACL).
Unit 5 – 8 – All the privileges of previous units plus the following:
One weekly 24hr pass with family only (All passes will be from Saturday 9:00 AM till Sunday 9:00 AM.) (Exceptions to the day and time of the pass may be given by Program Director to students who have family coming to visit from out of state.)
- Students will be expected to continue to abide by the rules of the program while on their passes.
- If student returns late from pass by 1 second for any reason, it will result in the loss of pass privileges the following week and possible receipt of a major violation for flagrant disregard for the rules.
Mail Privileges
Students can only receive and send mail to those persons on their “Approved Communications
List” (ACL).
- Note: Touching the mailboxes will result in a major violation*.
- All outgoing mail must remain open for staff inspection prior to being mailed and all incoming mail is subject to being opened and inspected prior to student receiving it.
Walking Privileges
- Each student must stay within their boundaries during leisure time or weekly visits in accordance to their current unit privileges.
- Each student is allowed to enjoy their visitation privileges within their perspective boundaries.
- Crossing boundaries without prior approval by staff WILL result in a major violation*.
*Any major violations will result in two weeks restriction and loss of all privileges.
Church/Chapel/Classroom conduct: Heb. 10:25; I Cor. 14:33,34; Psalm 1; Joshua 1:8
1. Bibles and a pen/paper must be brought to all services and studies.
1. Bibles and chapel notebook will be brought to each chapel service.
1. Chapel dress code will be business casual.
1. Residents will attend all services of Beth Haven Baptist Church, HOPE Addiction Classes, and activities as scheduled by Victory Ranch.
1. No talking or getting up during services or chapel: eyes forward and no disruptions.
1. Indiscreet chewing of gum, candy, or breath mints is not allowed.
1. Students must wear their Hope Badge to all church services, HOPE Classes, & Special Meetings on church property.
1. All students must remain within the eye sight of Victory Ranch Staff while on church property. It is the student’s responsibility not to wander off out of sight. Being out of sight is considered out of boundaries and will result in a major violation*. Graduate residents of Victory Ranch may be given special permission to be out of sight in order to fulfill ministry responsibilities only.
1. Students must complete Unit 3 (Knowledge) before being allowed to share testimonies in the main church services. (While we encourage and enjoy hearing how God is working in student’s lives, we believe it’s important to allow student’s the necessary time to mature spiritually before sharing testimonies in the main congregation.)
1. Residents are required to read, study, memorize and meditate in their Bibles every morning before opening assembly. Students must make a journal entry with the date each morning prior to chore inspections.
1. If you are unwilling to spend one hour studying your Bible every day, you cannot remain in the program.
1. Each week you must progress further in your unit work and counseling homework. This will be monitored during your counseling sessions.
1. Restrooms may only be used between services with permission from staff.
1. Absolutely no fellowship or communication with the opposite sex is permitted. (Special permission may be given at times to the elderly within the church). Failure to comply with this rule will result in automatic dismissal!
1. Absolutely No communication privately between students and Ranch Staff children unless under direct supervision of parents. (The only exception is graduate ranch residents may communicate with Ranch Worker children only if the child is an adult and of the same gender.)
1. Any suspicion of a student negatively influencing a Ranch Staff child is grounds for immediate dismissal from the program.
1. No eye contact or non-verbal communication is allowed at any time between the male and female students of Victory Ranch.
1. No communication is allowed among those in the men’s dorm about those in the women’s dorm, and vice versa. Failure to comply with this rule will result in a major violation.
1. No communication is allowed between students of Victory Ranch and students of the Safety Net program until students of the Safety Net Program graduate and/or permission is given by the director of Victory Ranch.
Shuttle/Van Conduct: II Cor. 5:12; I Cor. 14:40
1. The shuttle/van will leave for each function approximately 45 minutes before it begins and will arrive approximately 10 minutes before it begins.
2. No eating is allowed in the shuttle. Drinks must be in a spill proof container.
Conversation/Behavior: (Study and follow this closely. It will be enforced!)
1. Our program goal is to have all conversation be Christ-like.
1. Griping, negative criticism, gossiping, complaining, faultfinding, and foul language will not be tolerated.
1. Any complaints are to be put in writing and turned in to staff to be dealt with accordingly.
1. Talking about old habits or lifestyles is against God's Word and is not permitted.
1. Punctuality to all programs and services is a requirement. You will be at every function 10 minutes before it begins.
1. Failure to turn in a student for the violation of rules will result in your receiving the same punishment. You are not doing anyone any favors by concealing a violation.
1. No sleeping or slacking off during work times.
1. No returning to bed after the morning Bible devotions.
1. Only 4 action reports are allowed for “Poor Work Performance” before loss of work scholarship. If a student loses their work scholarship, he/she will no longer be allowed to stay in the program.
1. A kind and courteous attitude is expected at all times.
1. No dating is allowed while the student is in this program. (This includes any communication with “Boyfriends”, “Girlfriends”, “Fiancés”, or “Common Law Spouses”).
1. Leaving your boundaries is prohibited without prior approval by Victory Ranch Staff.
Dress Code: I Peter 1:16; 2:9; II Cor. 6:15-17
Men’s Dress Code
1. A minimum of a t-shirt and shorts are required for leisure time within the dorms.
1. Shoes are not allowed to be worn in the dorms. Shoes must be removed at the door.
1. A minimum of a t-shirt and shorts are required for bedtime; no one sleeps in just their underwear and/or no t-shirt. (You are also not permitted to sleep in work/street clothes.)
1. Victory Ranch has standard dress for each service and/or function. Ask Victory Ranch Staff for details about dress code for each occasion.
1. No other clothing options will be allowed.
1. Dress shirts must be tucked in and belts must be worn. Men must wear their pants at the hips.
1. The dress code may be amended at any time as deemed necessary by the dorm supervisor or director.
Women’s Dress Code
1. Women’s dress is taught and monitored closely by Victory Ranch Staff. Please be prepared to be taught and corrected as to how you dress while you’re in the program.
1. A minimum of a t-shirt, bra, and pajama bottoms are required for leisure time (after evening function) within the dorms.
1. A minimum of a t-shirt and shorts are required for bedtime; no one sleeps in just their underwear and/or no t-shirt. (You are also not permitted to sleep in work/street clothes.)
1. A dress, skirt and blouse, or jumper will be worn at all times outside the dorm. (No pants are allowed to be worn outside the dorm. Pajama bottoms may be allowed in the dorm only after evening function.)
1. In addition to minimum required dress, proper undergarments (underwear, slip, bra) are also required inside the dorm before leisure time and outside the dorm at all times.
1. Victory Ranch has standard dress for each service and/or function. Ask Victory Ranch Staff for details about dress code for each occasion.
1. No other clothing options will be allowed.
1. Shoes are not allowed to be worn in the dorms. Shoes must be removed at the door.
1. The dress code may be amended at any time as deemed necessary by the dorm supervisor or director.
Personal Hygiene: I Cor. 14:40; II Cor. 5:20; Mark 5:15; John 11:39b
1. All residents must brush their teeth, comb their hair, wash their faces and put on clean clothes each morning before Bible devotions.
1. Everyone showers at least and not more than once per day.
1. All body odors must be controlled.
1. Neat, clean, and combed hair is required daily.
1. MEN ONLY: Hair will remain off the collar, ears and eyebrows. This means men must have and maintain a regular man’s haircut. Long hair will not be permitted for men.
1. Sideburns are not to be worn below the bottom of the opening of the ear.
1. Facial hair (if present) must be kept clean and groomed.
Dorm Rules: I Cor. 4:2; Matt. 25:21,29
1. The room & bed assigned to you, like everything else on our property, belongs to God. It must be treated as such.
1. Any and all theft will be grounds for immediate termination.
1. No furniture is to be moved into or out of the room without approval.
1. Any pictures, posters, photos, etc. to be brought into the home must be approved by Victory Ranch Staff.
1. No food is to be kept in the bedrooms unless sealed in an airtight container, which must be provided by the student.
1. Turn off lights when not in use. Wasting electricity is poor stewardship and will not be tolerated.
1. No one is to congregate in another resident's room for any reason without authorization.
1. During day visits no visitors are allowed in the student’s room at any time.
1. Rooms must be kept neat and orderly at all times.
1. Beds must be made to a designated, uniform standard, and rooms must be straightened each morning before chore inspections.
1. Common areas must be cleaned daily and kept neat and orderly.
1. Chores will be assigned to each resident as needed. Completing your chores daily before work will be expected and monitored through daily chore inspections.
1. Weekly dorm inspections will be conducted to insure personal areas are properly maintained.
1. If a student is sick they must be excused from work with a Doctor’s note, otherwise it will be considered an unexcused sick day. After 4 unexcused sick days a student will lose their work scholarship and will no longer be allowed to stay in the program.
1. Violations will be given for incomplete or poor work scholarship performance.
1. Students are not allowed to enter the dorms during work hours (prior to 3:30pm) without express permission from Victory Ranch Staff. This will be considered crossing boundaries without permission and will result in a major violation.
Kitchen: II Cor. 10:10; Pro. 30:81.
1. Your meals will be provided by Victory Ranch Staff and/or volunteers.
1. Residents may not enter the food storage areas unless scheduled to prepare meals that day by Victory Ranch Staff.
1. Negative remarks about food will not be tolerated.
Graduate Residents / Aftercare
1. Graduates are welcome to stay for aftercare as long as they continue to abide by the rules and have applied for and been accepted into the Graduate Program. The following are general changes to the rules and additional privileges that occur once a student successfully becomes a graduate.
1. Note: The following is subject to change and privileges may be revoked as deemed necessary by Victory Ranch Staff for any Graduate.
1. Graduates may own a vehicle, however, all graduate vehicles will be subject to search at any time.
1. Fellow Graduates may ride together with prior staff approval.
1. Graduates are required to work or be actively seeking employment in order to remain in the dorm.
1. Graduates are required to pay rent from their 1st paycheck and each paycheck thereafter. (Rent shall be 10% of each paycheck.).
1. Graduate Housing Privileges will be reviewed the 1st of each month.
1. Graduates are allowed to join Beth Haven Baptist Church and participate in church ministries upon the a pproval & with guidance of the Pastor of Beth Haven Baptist Church and Victory Ranch Ministries.
1. Graduates may own and possess a cell phone with restrictions and parameters in place by Victory Ranch Staff. (Communications with unauthorized persons is strictly prohibited and monitored.)
1. Personal computers, tablets, and laptops are prohibited. (If graduates are attending Beth Haven Baptist Seminary exceptions may be granted with strict adherence to regulations.)
1. Graduates may be out of staff sight at church only if involvement in a ministry requires their presence.
Attitude:
Every person at our home is expected to be committed to and give complete dedication to living the highest quality Christian life possible. Your attitude must reflect this in the following manner:
- Gratefulness to God and the church
- Humility toward your fellow peers and the staff of Victory Ranch
- Willingness to be corrected and taught
- Readiness to change old behavior patterns
- Negative, pessimistic attitudes will not be tolerated
Each new student must complete a 30-day probationary period to the satisfaction of Victory Ranch staff before eligibility to complete the program.
8 UNIT DISCIPLESHIP PROGRAM
Unit 1 & 2 – Approx. 2 months*
Schedule a medical exam and physical within first month of arrival (if necessary).
Fill out your Confidential Personal Data Inventory (PDI) Sheet within 10 days of arrival.
Complete all required step work given at the H.O.P.E. Class (5-7 Steps per week).
Attend all evening training functions. Attend all scheduled counseling sessions.
Finish all required unit reading and counseling homework.
Read/Study the Bible daily.
Learn the current chain of command and authority structure.
•        After reviewing your probationary period, you must be personally promoted to unit 2 by Ministry Director.
Unit 3 & 4 – Approx. 2 months*
Complete all required step work given at the H.O.P.E. Class (5-7 Steps per week). Attend all evening training functions.
Attend all scheduled counseling sessions.
Finish all required unit reading and counseling homework.
Read/Study the Bible daily.
• You must be promoted to next unit by staff.
Unit 5 & 6 – Approx. 2 months*
Complete all required step work given at the H.O.P.E. Class (5-7 Steps per week). Attend all evening training functions.
Attend all scheduled counseling sessions.
Finish all required unit reading and counseling homework.
Read/Study the Bible daily.
• You must be promoted to next unit by staff.
Unit 7 & 8 – Approx. 2 months*
Schedule a meeting with BHBC Pastor prior to program completion.
Complete all required step work given at the H.O.P.E. Class (5-7 Steps per week).
Attend all evening training functions.
Attend all scheduled counseling sessions.
Finish all required reading and counseling homework.
Read/Study the Bible daily.
Begin working on “Exit Strategy”.
Sign up for after care counseling and/or apply for the Graduate Program with Victory Ranch
Director prior to program completion.
*With the exception of Unit 1, anyone remaining in a Unit for more than 40 days may be subject to termination from the program.
Monday – Friday
MEN’S DAILY SCHEDULE
6:00 AM        Awake- get dressed for the day / Cook Breakfast
6:30 AM        Daily Devotions / Quiet Time.
7:00 AM         Breakfast / Chores
8:00 AM         Chore Inspections
8:30 AM          Workday begins* (based on direction of Supervisor)
3:30 PM         Workday ends*
5:00 PM          Dinner
5:30 PM         Get Ready for Evening Function
7:00 PM         Attend Evening Function
Monday- Chapel Service
Tuesday- Music Class or Study (Alternates Weekly) Wednesday- Mid-Week Church Service
Thursday- Free / Leisure Night / Group Activity
Friday- HOPE Addictions Program
9:30 PM         Study, Fellowship, Relax
11:00 PM         Mandatory lights out
Saturday
6:30 AM         Awake- get dressed for the day **
10:00 AM         Soul Winning, Canvassing, Saturday Work Duties
2:00 PM          Graduate Chores, Visiting Hours Start, Study, Fellowship, Relax***
5:00 PM          Dinner
8:00 PM          Visiting Hours End
11:00 PM          Mandatory lights out
Sunday
6:30 AM          Awake- get dressed for church **
7:00 AM          Breakfast
7:45 AM          Be ready for Shuttle / Van
8:50 AM          BHBC Prayer Meeting
9:45 AM          BHBC Sunday School
11:00AM          BHBC Morning Service
1:00 PM         Afternoon: leisure time***
4:15 PM          Be ready for Shuttle / Van
5:00 PM          BHBC Evening Service
9:00 PM          Study, fellowship, relax
11:00 PM          Mandatory lights out
*ATTENTION: This is a working program. Everyone has a job, and everyone works either on a soap crew, or ranch crew. You must work! No one is permitted to do nothing; you must stay busy. The workday may end at various times depending on what work we are doing.
**Mandatory Bible times are to be done, at your discretion on Saturday and Sunday.
***Opportunities to serve others may be inserted here.
Monday - Friday
WOMEN’S DAILY SCHEDULE
6:00 AM         Awake- get dressed for the day / Cook Breakfast
6:30 AM         Daily Devotions / Quiet Time.
7:00 AM         Breakfast / Chores
8:00 AM         Chore Inspections
8:30 AM         Workday begins* (based on direction of Supervisor)
3:30 PM         Workday ends*
5:00 PM         Dinner
5:30 PM         Get Ready for Evening Function
7:00 PM         Attend Evening Function
Monday- Chapel Service
Tuesday- Music Class or Study (Alternates Weekly) Wednesday- Mid-Week Church Service
Thursday- Free / Leisure Night / Group Activity
Friday- HOPE Addictions Program
9:30 PM         Study, Fellowship, Relax
11:00 PM          Mandatory lights out
Saturday
6:30 AM         Awake- get dressed for the day **
9&10 AM         9AM - Product Sales Event & 10AM - Soul Winning, Canvassing
2:00 PM          Graduate Chores, Visiting Hours Start, Study, Fellowship, Relax***
5:00 PM          Dinner
8:00 PM          Visiting Hours End
11:00 PM          Mandatory lights out
Sunday
6:30 AM          Awake- get dressed for church **
7:00 AM          Breakfast
7:45 AM          Be ready for Shuttle / Van
8:50 AM          BHBC Prayer Meeting
9:45 AM          BHBC Sunday School
11:00AM          BHBC Morning Service
1:00 PM          Afternoon: leisure time***
4:15 PM          Be ready for Shuttle / Van
5:00 PM          BHBC Evening Service
9:00 PM          Study, fellowship, relax
11:00 PM          Mandatory lights out
*ATTENTION: This is a working program. Everyone has a job and everyone works either on a soap crew, or ranch crew. You must work! No one is permitted to do nothing; you must stay busy. The workday may end at various times depending on what work we are doing.
**Mandatory Bible times are to be done, at your discretion on Saturday and Sunday.
***Opportunities to serve others may be inserted here.
DISCIPLESHIP HOME DISCIPLINE
Student Chastening:
Immediate Dismissal: Possession or attempted use of fake urine, physical altercation, theft of any kind, and fellowship or communication with the opposite sex, failure to be honest on the program application.
Major Offense: Possession or use of any drugs, alcohol, pornography, tobacco, intentional destruction of God’s property, leaving your boundaries without permission, communicating or talking about those in the opposite dorm as you, touching the mail boxes or getting the mail, touching the video surveillance cameras or camera chords, touching security keypads, flagrant disregard of general rules, insubordination or a breach in the chain of command/authority structure (listed below).
1st Offense Loss of all privileges for two weeks.
2nd Offense Return to the beginning of the most recently completed Unit and
loss of all privileges for two weeks. (Possible Termination)
3rd Offense Return to the beginning of Unit 1 and loss of all privileges for two
weeks. (Possible Termination)
4th Offense Termination from the program.
* A Major Offense can be erased by completing 3 full weeks with no minor offenses. However, at the discretion of staff, termination from the program may result due to any major offense whether it’s the 1st or 4th.
Minor Offense: Violation of any of the “General Rules” of the program
NOTE: The accumulation of more than 10 minor offenses in one week will result in a major violation.
“Liberty abused will be liberty lost!”
Chain of command / Authority Structure
If a student has a grievance against a fellow student, they are to go to that student. If they are unable to clear the matter, they will write the complaint on paper and turn it in to the “Dorm Supervisor” for review. Student/worker complaints not handled by the policy listed herein or general complaining to other students will result in a major violation. Major violations will be enforced with infractions of the chain of command / Authority Structure.
All grievances with anyone in authority should be brought in writing to the Ministry Director who will then mediate as necessary between the student and the person in authority to resolve the matter.
These authority figures include, but are not limited to:
Victory Ranch Staff
Beth Haven Baptist Church Staff
Pastor of Beth Haven Baptist Church
In the event you feel as if your grievance was not handled properly, you may then go to the next level of authority along with the person with whom you have the grievance.
Present Chain of Command is as follows:
Student,
Pastoral Staff of Beth Haven Baptist Church,
Victory Ranch Director,
Pastor of Beth Haven Baptist Church
Click to Agree*
I have read the General Rules and Daily Schedule Consent Page (this page) and I agree to honor them.

Victory Ranch Discipleship Home Financial Agreement and Payment Options
Overview:
The Discipleship Homes of Victory Ranch cost a great deal to operate. The duration of the program costs Victory Ranch approximately $18,000 per student. This cost is divided into things such as food, housing, utilities, insurance, staff expenses, education, counseling materials, transportation and other miscellaneous expenses (toiletries, hygiene, general supplies, etc.). The student’s family, sponsor, or sending church may choose to provide portions of this cost in the form of charitable donations if possible. Family members are also encouraged to send occasional care packages. Please do NOT send money to the student without prior approval. All packages and correspondence are subject to search. It is our desire to provide the services of this ministry to anyone in need of help regardless of their financial situation. However, we must recuperate the cost somehow. For this cause we must charge a support fee of no less than $5000 per student (we do not accept insurance of any kind) (All monies given to Victory Ranch for support fees or any other reason are non-refundable after they are given.) and each student must also agree to being involved in our work scholarship program as a volunteer (no outside employment will be allowed prior to the Graduate Program) in order to help mitigate some of the cost involved with them being here.

Request for Installments:
Because we require a full commitment from each student to finish the entire program (minimum of 30 weeks) we also require payment in full if possible. We will not grant request for installments for any other reason than a student absolutely cannot afford to pay in full or find a sponsor to pay in full. We do not allow students to just “try it out” in order to determine if they want to finish. A request for installments will only be granted to students who commit to the entire program but cannot pay in full and/or cannot find a sponsor to pay in full. Note that if it is found out that the student, family, sponsor, or church was/is able to pay in full but they portrayed themselves as not able to pay in full, the request for installments will be withdrawn and the student will be immediately discharged from the program. By agreeing to Option #1 below you are in full agreement to the “request for installments” terms and are certifying that you are indeed unable to pay the support fee in full at this time nor can you find a sponsor to help pay in full. You also agree to pay $500 or more per month, every month until $5000 has been applied to your account. You also understand that “all students” will be treated equal regardless of their financial agreement with Victory Ranch and all students are subject to and agree to the terms listed in the “overview paragraph” of this agreement.

OPTION #1 I understand and agree to the terms of the above contract and I make a “Request for Installments” (I AGREE TO PAY MONTHLY INSTALLMENTS OF AT LEAST $500.00)

Fee Waiver Request:
We understand that $5000 is a lot to come up with and it has been our experience that a lot of people seeking help from our ministry cannot afford this. Some in this situation cannot even find a sponsor or anyone willing to help them, for various reasons. Rest assured, we have never turned anyone away for lack of money or inability to pay the support fee. If one is able to pay or their family, sponsor, or church is able to pay then we require payment. However, if there is a true hardship and inability to pay, we will still consider the applicant for enrollment as long as they request a fee waiver. Note that if it is found out later that the student, family, sponsor, or church was/is able to pay but they portrayed themselves as not able to pay, the fee waiver will be withdrawn and the student will be immediately discharged from the program. Students who are eligible for a fee waiver will also forfeit any cash they have at the time of intake and throughout the course of the program and it will be applied to their support fee until $5000 is accumulated on their account. By agreeing to Option #2 below, you are in full agreement to the “fee waiver” terms and are certifying that you are indeed unable to pay the support fee nor can you find a sponsor to help pay. You also understand that “all students” will be treated equal regardless of their financial agreement with Victory Ranch and all students are subject to and agree to the terms listed in the “overview paragraph” of this agreement.

OPTION #2 I understand and agree to the terms of the above contract and I request a “Fee Waiver”

Pay in Full:
By agreeing to Option #3 below you are in full agreement with the terms of this contract agree to pay the support fee of $5000 in full prior to intake and are certifying that you do not need a “fee waiver” or a “request for payments”. You also understand that “all students” will be treated equal regardless of their financial agreement with Victory Ranch and all students are subject to and agree to the terms listed in the “overview paragraph” of this agreement.

OPTION #3 I understand and agree to the terms of the above contract. (I AGREE TO PAY THE SUPPORT FEE OF $5000.00 IN FULL PRIOR TO INTAKE)
I fully understand and agree to the terms of this contract and I willingly choose:*
- OPTION #1 I understand and agree to the terms of the above contract and I make a “Request for Installments” (I AGREE TO PAY MONTHLY INSTALLMENTS OF AT LEAST $500.00)
- OPTION #2 I understand and agree to the terms of the above contract and I request a “Fee Waiver”
- OPTION #3 I understand and agree to the terms of the above contract to Pay in Full. (I AGREE TO PAY THE SUPPORT FEE OF $5000.00 IN FULL PRIOR TO INTAKE)

Volunteer Agreement, Release and Waiver of Liability Consent Page
THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!
(Must be completed by student herein known as the “Volunteer”)

This Release and Waiver of Liability (the “Release”) is executed in favor of Victory Ranch Ministries, Inc., herein after referred to Victory Ranch and any other Victory Ranch affiliated organization, and their respective affiliates, directors, officers, trustees, employees, sponsors, donors, volunteers and agents (collectively, the “Released Parties”).

I, the Volunteer, desire to work as a volunteer for one or more of the Released Parties without compensation and engage in the activities related to being a volunteer. I understand that my activities may include but are not limited to the following: working at Victory Ranch offices and worksites; working in or for Victory Ranch operations; landscaping, window washing, selling and making Victory Ranch product, animal husbandry, loading and unloading materials and livestock; traveling to and from work sites, towns, cities or countries; consuming food available or provided; living in housing provided for volunteers; assisting in disaster relief areas; constructing and rehabilitating residential buildings; other construction-related activities; and other volunteer activities ("Activities").

I, the Volunteer, understand that my Activities may include work that may be hazardous to me, including, but not limited to, exposure to lead, asbestos, and mold, which may cause or worsen certain illnesses, especially if I do not wear protective equipment, am exposed for extended periods of time, or have a pre-existing immune system deficiency.

I also understand there is some inherent risk in consuming local foods and living in local accommodations in the city(ies) visited. I further understand I may be traveling to and from locations where there is a risk of inclement weather or other circumstances that could threaten my health or safety.

I, the Volunteer, hereby freely, voluntarily and without duress execute this Release under the following terms:

Release and Waiver. In consideration of and in order to be allowed to participate in the Activities, I, the Volunteer, do hereby release and forever discharge and hold harmless the Released Parties and their successors and assigns from any and all liability, claims, demands, costs and damages of any kind, whether arising from tort, contract or otherwise, which I or my heirs, assigns, next of kin or legal representatives may have or which may hereinafter accrue, arise from, or are in any way related to my Activities with any of the Released Parties, including but not limited to personal injury, bodily injury, illness, property damage, loss or death, whether caused wholly or in part by the simple negligence, fault or other misconduct of any of the Released Parties or of other volunteers, other than their intentional or grossly negligent conduct.

I understand and acknowledge that by signing this Release I knowingly assume the risk of injury, harm, damage and loss associated with the Activities. I also understand that the Released Parties do not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health or disability insurance in the event of injury, illness, death or property damage.

I understand and acknowledge that children under the age of 18 are not allowed on Victory Ranch property without express permission from staff. While minors may be allowed to participate in some types of activities; I understand that being around ranch animals; using power tools; excavation; demolition; riding in/on ranch vehicles and similar activities are not permitted for anyone under the age of 18. I agree it is my responsibility to communicate these requirements to any of my minor children who will attend and/or participate in the Activities.

Consent to Transportation and Medical Treatment. I consent to the use of first aid treatment and the use of generic and over the counter medications and treatments as directed by manufacturer labels, whether administered by the Released Parties or first aid personnel. In an emergency, I understand the Released Parties may try to contact the individual listed below as an emergency contact. If an emergency contact cannot be reached promptly, I hereby authorize the Released Parties to act as an agent for me to consent to any examination, testing, x-rays, medical, dental or surgical treatment for me as advised by a physician, dentist or other health care provider. This includes, but is not limited to, my assessment, evaluation, medical care and treatment, anesthesia, hospitalization, or other health care treatment or procedure as advised by a physician, dentist or other health care provider. I also authorize the Released Parties to arrange for transportation of me as deemed necessary and appropriate in their discretion. I, the Volunteer, do hereby release, forever discharge and hold harmless the Released Parties from any liability, claim, demand, and action whatsoever brought by me or on my behalf which arises or may hereafter arise on account of any transportation, first aid, assessment, care, treatment, response or service rendered in connection with my Activities with any of the Released Parties.

Insurance. I understand that, except as otherwise agreed to by the Released Parties in writing, the Released Parties are under no obligation to provide, carry or maintain health, medical, travel, disability or other insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own health, medical, travel, disability or other insurance coverage.

I understand that I am and remain responsible for payment of such hospital, physician, ambulance, dental, medical or other services obtained for me or my child. I agree that the Released Parties do not assume any responsibility for the payment of such fees or expenses which may be incurred. If I have health insurance, I understand my personal health insurance is my primary coverage.

Confidentiality. I agree that in the course of my participation in the Activities, I may have access to personal and/or health care information of other persons. I agree to maintain the confidentiality of such information, to use such information only as necessary to do my job as a volunteer, and to comply with Victory Ranch for applicable policies regarding such information.

Photographic/Recording Release. I hereby grant and convey unto the Released Parties all right, title and interest in any and all photographs and video/audio/electronic recordings of me, including as to my name, image and voice, made by or on behalf of any of the Released Parties during my Activities with the Released Parties, including, but not limited to, the right to use such materials for any purpose and to any royalties, proceeds or other benefits derived from them. I understand that I will not have any ownership interest in or to such photographs, images and/or recordings, I have not been provided or promised any compensation to me, and I hereby waive any rights, privileges or claims based on any right of publicity, privacy, ownership or any other rights arising, relating to or resulting from the photographs, images and/or recordings. I understand and agree that this paragraph also applies to my minor child(ren) who are visiting me.

Other. I understand that Victory Ranch reserves the right to screen all volunteers on the National Sex Offender Registry.

Policy: It is the policy of Victory Ranch not to discriminate against individuals, i.e. staff members, applicants, volunteers, board members, etc. based on their race, color, sex, national origin, their status as an individual with a disability, or with protected veteran status, i.e., disabled veteran, Armed Forces service, medal veterans, recently separated veteran, or other veteran who served during a war, or in a campaign for expedition for which a campaign badge has been authorized. This policy shall apply to all individuals involved in any way with Victory Ranch.

Complaint Procedure: If an individual believes they have been subjected to discrimination/harassment/retaliation, they are required to immediately notify their Ministry Supervisor or the Volunteer Coordinator, who will immediately notify the President/CEO.

I expressly agree that this Release is intended to be as broad and inclusive as permitted by state law. I further agree that in the event any clause or provision of this Release is held invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining clauses or provisions of this Release, which shall continue to be enforceable. Further, a waiver of a right under this Release by a Released Party does not prevent the exercise of any other right.

I have carefully considered my decision, the benefits, and risks involved and hereby give my informed consent to participate in all volunteer Activities. I have read and understand this Release and Waiver of Liability, any questions of mine have been answered, and I voluntarily agree to the above provisions. It is my intent to bind my heirs, next of kin, assigns and legal representative.
Consent*
I fully understand and willingly agree to be bound by the terms of this contract.
I have carefully considered my decision, the benefits, and risks involved and hereby give my informed consent to participate in all volunteer Activities. I have read and understand this Release and Waiver of Liability, any questions of mine have been answered, and I voluntarily agree to the above provisions. It is my intent to bind my heirs, next of kin, assigns and legal representative.
Volunteer Name*
First Last
Volunteer Address*
Street Address Address Line 2 City State ZIP Code
Date of Birth*
Date Format: MM slash DD slash YYYY
Email*
EMERGENCY CONTACT INFORMATION FOR VOLUNTEER*
First Last
Relationship*
Emergency Contact Phone*
Emergency Contact Email*

RELEASE OF CRIMINAL BACKGROUND RECORDS
I, the undersigned, do hereby authorize Victory Ranch to examine any and all criminal records and arrests on file in the counties in the state of which I have convictions. In doing so, I understand that I am waiving my right of confidentiality concerning my criminal history to the staff of Victory
Ranch alone.
I have convictions in the following counties and states:
(Click the plus sign to add multiple counties and states.)
County State
Today's Date*
Date Format: MM slash DD slash YYYY
Applicant's Name*
First Last
Driver's License Number*
Social Security Number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Consent*
I agree and give full release of criminal background records to Victory Ranch
I do hereby authorize Victory Ranch to examine any and all criminal records and arrests on file in the counties in the state of which I have convictions. In doing so, I understand that I am waiving my right of confidentiality concerning my criminal history to the staff of Victory

DRUG SCREEN AUTHORIZATION AND CONSENT
I authorize and give full permission to have Victory Ranch and/or their selected physician to send a specimen of my urine and/or blood for a screening test for the presence of illegal drugs, alcohol, tobacco, or prescription medication taken without a prescription.

I will hold all parties concerned harmless, meaning I will not sue nor hold responsible for any alleged harm to me or interfering with my obtaining a job or continuing employment due to not submitting to the tests or as a result of report of the test. This includes, but not limited to, possible clerical or laboratory error.

I understand this is a legally binding document, which is binding because Victory Ranch is sending me for and/or conducting the examinations and paying for them.

I UNDERSTAND VICTORY RANCH WILL REQUIRE A DRUG SCREEN TEST AT RANDOM OR WHENEVER AN ON THE JOB ACCIDENT OR INJURY IS REPORTED IN ACCORDANCE WITH THE FREEDOM IN TRUTH MINISTRIES INTERNATIONAL POLICY AND THIS AUTHORIZATION AND CONSENT. MY REFUSAL TO DRUG TESTING OR A POSITIVE RESULT WILL BE GROUNDS FOR TERMINATION FROM MY WORK SCHOLARSHIP AND TENANCY IN THE DISCIPLESHIP PROGRAM.

POSSESION OR ATTEMPTED USE OF FAKE URINE WILL RESULT IN IMMEDIATE DISMISSAL FROM THE PROGRAM.
Consent*
I agree and give full consent for drug screening to Victory Ranch

WORK RELEASE FORM
I understand that this is a working program. I understand I will be required to do physical labor while in the program. If, prior to enrollment to this program I have any physical limitations, or am unable to work for any reason, I understand that I am to inform Victory Ranch before I enter the program. I understand that I will not be receiving any wages for the volunteer work I perform for Victory Ranch while I remain in the program.
Please list any physical limitations below (list "N/A" if there are none):*
Consent*
I have read and agree to Victory Ranch's Work Release Form

DISMISSAL POLICY
I agree that automatic eviction from any Victory Ranch Discipleship Home shall occur should I create or contribute to any dangerous conditions to any house residents, or should I breach any of the house Rules and Regulations. Further, given adequate notice, I will leave upon my completion or expiration date (as determined by the Program Director).
Consent*
I have read and agree to Victory Ranch's Dismissal Policy

ACKNOWLEDGEMENT OF RECEIPT
Dismissal for Cause (as determined by the Director) will act as an automatic Eviction Notice. Victory Ranch will attempt to provide Due Process (Notification of Eviction) provided there is no danger to any residents (as determined by the Director).
THIS DECLARES THAT I HAVE RECEIVED A COPY OF HOUSE RULES AND DISMISSAL POLICY.
My signature signifies my awareness of the Victory Ranch Rules and Dismissal Policy and that I have received a copy. I agree to abide by the rules of Victory Ranch Discipleship Homes.
Consent*
I have received a copy of Victory Ranch's House Rules and Dismissal Policy.

FINAL APPLICATION CONSENT PAGE
I recognize my need for help and I am therefore applying for admission to Victory Ranch Discipleship Home. I understand that Victory Ranch is a Christian organization and is dedicated solely to the spiritual regeneration and social rehabilitation of people like me.
I have carefully read and understand all of the rules of Victory Ranch Discipleship Home. If accepted into the program, I agree to keep all of the rules and regulations of the ministry. I understand that any flagrant or repetitive violation will be grounds for my dismissal from the program.
I understand that my admission to the program and my continued residence is dependent upon my willingness to restructure my life to conform to biblical Christianity, to learn to live a victorious Christian life, and my willingness to help myself, including chores and duties as may be assigned to me.
I agree that should any incident occur involving personal injury to myself, or loss, or damage to my property during my residence at the Victory Ranch Discipleship Homes, to hold Victory Ranch and Beth Haven Baptist Church harmless from any and all liability in connection therewith.
I authorize investigations of all statements contained in this application as may be necessary in arriving at a decision. I understand that false or misleading information given in my application or interview may
result in my termination from the program.
In the event that I quit the program or I am terminated from the program for any reason and leave the Victory Ranch Discipleship Home before graduation, I understand that Victory Ranch is in no way responsible to provide me with transportation from the discipleship homes to any location. I further understand that if I were to leave the discipleship home without completing the program, I must take all of my belongings with me, as I will not be permitted to return to the property. Victory Ranch will not be responsible for storage or shipment of any of my personal belongings. I also understand that any money given to Victory Ranch for Supplemental Support Fees and/or Graduate Rent is non-refundable.
I certify that the answers given in this application are true and complete to the best of my knowledge.
Consent*
I agree and certify Victory Ranch's Final Application Consent Page
Phone
This field is for validation purposes and should be left unchanged.

County	State

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Victory Ranch Enrollment Form Instructions

Victory Ranch Enrollment Form

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Applicant Information

General Rules and Daily Schedule Consent Page

Victory Ranch Discipleship Home Financial Agreement and Payment Options

Volunteer Agreement, Release and Waiver of Liability Consent Page

RELEASE OF CRIMINAL BACKGROUND RECORDS

DRUG SCREEN AUTHORIZATION AND CONSENT

WORK RELEASE FORM

DISMISSAL POLICY

ACKNOWLEDGEMENT OF RECEIPT

FINAL APPLICATION CONSENT PAGE