Admission Application

 To be considered for residence, the applicant must complete all pertinent sections of this online application below (or download a hardcopy), include all required information included and submit. You can also download the form as a PDF and complete all pertinent sections offline, sign and date the application, and return it to:

Shannon Robtoy, Administrator
1200 North Avenue, Burlington, VT 05408   

ethanallen@livingwellgroup.org

If assistance is needed in completing this application, please call 802-391-8856.

If the applicant has a guardian, the application must be signed by the guardian. Admission cannot be completed without a copy of the court order appointing the guardian.