Grand Avenue Club Membership Application
Grand Avenue Club (GAC) is based on “the Clubhouse Model of psychiatric rehabilitation” which is an Evidence Based Practice as defined by the United States Substance Abuse and Mental Health Services Administration (SAMHSA).

It is desirable for potential members to have a monthly income, shelter, food and appropriate medical/psychiatric care, as we do not have the resources to work on these issues at the outset of membership. GAC is unable to accept individuals whose primary issue is dementia, traumatic brain injury, or developmental disability, including Autism Spectrum Disorders. GAC is avidly interested in recruiting members who are able to work side-by-side with other members and staff to run GAC in our Pre-Vocational Work Ordered Day. We are also interested in employment and/or educational goals individuals may have.

Please reply honestly to the questions that follow. Your responses will help our Membership Team get to know you.

If you have any questions or concerns please call our Membership Team at 414-727-3366 or email at membership@grandavenueclub.org.


Sign in to Google to save your progress. Learn more
I have read the above statement and understand what Grand Avenue Club is about, and I am interested to get started with membership *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Grand Avenue Club. Report Abuse