The information below must be completed in its entirety in order to download the full application for admission. Note: the form below is not an application for admission. Once you complete the information below and click “Submit,” you will be taken to a page where you can download the application by clicking on the yellow box that says “Admission Application.”
Please know that your information will not be distributed to any other parties, as your confidentiality is important to us. No one from Mercy Ministries of America will contact you as a result of providing this information. This information is for our records only.
This form applies to U.S. and Canadian residents only. All others can call (615) 831-6987.
Once you have provided the required information in all of the spaces below, please click "Submit" and continue to follow the prompts for downloading an application. * If you would rather speak to a Mercy Ministries staff member, please call (615) 831-6987.
Upon completion of the information below, you will receive a link to download the application.
Thank you for your information, please click the following link to download the full application:
Applications can be faxed to Mercy Ministries at 1-(615)-831-9953, or mailed to Mercy Ministries mailing address:
Mercy Ministries Intake Department
P.O. Box 111060
Nashville, TN 37222-1060