Application Letter
Congratulations on choosing one of the most progressive intervention services
designed to help stop interpersonal aggression and abuse in the nation.
The Alternatives to Domestic Aggression Program (ADA) Program has been
recognized in the State of Michigan and nation as an innovator and leader
in working to end domestic violence since 1986. We look forward to working
with you.
Included in this packet are all of the materials you need to apply to
the ADA Program of Catholic Social Services of Washtenaw County (CSS).
CSS is a non-denominational agency that offers services to people of any,
or no, religious affiliation.
To begin the ADA Program you will need to attend an Orientation meeting.
Orientation Dates for 2007
FOR MEN: We offer Orientation meetings approximately twice
per month. The Orientation meeting begins at 8:30 a.m. and ends at 4:30
p.m. It is important that you arrive on time. Please come to the next Orientation
meeting that is available. After choosing the Orientation
date, write it down at the top of the Application For Service form,
so we will know when to expect you.
WOMEN: For more information please contact:
Lisa Y. Larance, Women’s Program Coordinator
Phone: 734.971.9781 ext. 468
Email: llarance@csswashtenaw.org
For an assessment and program entry contact Lisa at the above phone number to schedule an appointment.
Tuition for the ADA Program is based on a sliding scale related to your
income. Your tuition amount will be assessed and discussed with you at
the Orientation. You are required to bring documentation of your income
to the Orientation meeting. You can bring a copy of one of the following:
Most recent paycheck stub, W-2, W-4, bank account statement, or other documentation
of your income.
Orientation Fee:
The Orientation fee is $50.00. This fee will reserve your place in
the meeting. The fee is non-refundable and will be used for the date you
have indicated on the Application for Service form. If you need to change
the date for your meeting, please let us know at least 24 hours in advance.
If you do this, your fee may be transferred. If you do not attend the meeting
you were scheduled for and/or do not cancel/reschedule with at least 24
hours notice, your fee will be forfeited.
PLEASE NOTE: Make your check or Money Order payable to: CSS.
(We also accept Visa and MasterCard)
(Be sure to check the appropriate box at the top of this form indicating
the date of the Orientation.
Please fill out the "Application for Service"
COMPLETELY (front and back). Send it back to our office within five (5)
days, along with your tuition. You may send the application to us at dgarvin@csswashtenaw.org
as an attachment to an email. You may also fax it to us at 734.971.2730
This brochure provides general information about the ADA Program.
2007 Orientation Schedule (for men) 2007
This is a listing of the dates of the upcoming Orientations. Please select
the next date of the appropriate meeting and write that date at the top
of your Application for Service.
This map shows how to get to our office. It is wise to write the date of
your Orientation on this map as a personal reminder.
ADA Accountability Workbook
You are required to purchase the "ADA Accountability Workbook". The cost
of this workbook is $25.00.
You may want to call to confirm that we have received your application
before you attend the Orientation Meeting. Problems with the mail may delay
our receipt of your Application. We thank you for your interest in making
personal changes and look forward to working with you soon. If you have
any other questions, you may ask them at the meeting, or if there is something
specifically related to your attendance, please feel free to call me at
734.971.9781 Ext. 330.
Sincerely,
David J.H. Garvin MSW, LMSW
Director
Alternatives to Domestic Aggression
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