Get the Application Process Started Here

Please complete this application for admission to the Friendly Home. If you need assistance or have any questions, please contact Shireen Haynes at 585-385-0271.

Application Form (PDF)

Please complete this application and submit it to the Friendly Home via one of the following options:

  • Fax completed application to 585-385-0225
  • Mail or drop off completed application to 3156 East Avenue, Rochester, NY 14618