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Admissions Information
Application Form

The Printed Application Form for admission to Main Place Youth adolescent girls' residency program is available for download in Adobe Acrobat.

Click Here to download Application Form>>

Adobe Acrobat Reader is required to download, view and print the Application Form for Main Place Youth, Inc.

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After completing the Application Form, please mail or fax it to the following address or fax number:

Main Place Youth | 1111 North Main Street | Kingman, KS 67068  fax: 620-532-3221




Many parents contacting Main Place Youth represent families in acute crisis and in desperate need of immediate placement for their daughter's safety and well-being.

Since each family represents unique circumstances and conditions, immediate placement is conditional upon the circumstances of the family and the child, as well as our home's capacity at the time of the request.

It is extremely important that parents seeking their daughter's immediate placement contact Dottie Freeman, Administrator as soon as possible. Please begin filling out the
application formas soon as possible and fax the completed form to Main Place Youth.

It is also important to note that throughout the entire history of our ministry, almost all the girls in our care (with only rare exceptions) had a basic understanding of the ministry of Main Place Youth and their role in treatment prior to intake.




Dottie Freeman, Administrator (read Dottie's bio)>>

Main Place Youth | 1111 North Main Street | Kingman, KS 67068
 phone: 620-532-2681 |  fax: 620-532-3221
 email: admin@mainplaceyouth.org

Should parents need to correspond with KHS regarding transfer, enrollment, transcripts or other school business:

Kingman High School | 260 W. Kansas | Kingman, KS 67068
 phone: 620-532-3136 |  fax: 620-532-3027



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