Valley Community Services Board

Sponsored Residential Services

You may complete the Application, Disclosure Statement Form, Driving Record Release Form and Confidentiality Policy Form on-line, except for the signature. Please print them out to sign.

Please print out two reference forms, after filling your name in at the top and signing the form, and give to two of your references. They should submit them directly to the program in a sealed envelope. Please remember to obtain two letters of recommendation and to have those submitted directly to the program in a sealed envelope as well.

Please complete a letter of interest following the instructions and submit along with the other forms.

Please refer to the Requirements Checklist prior to submitting to ensure that the application packet is complete as incomplete packets will not be accepted.

These can be mailed to or dropped off at: 85 Sanger's Lane Staunton VA 24401

You may also fax them to Nancy Stockner at: 540-885-0871.

If you the capability to scan the completed forms, you may email them to:

If you have any questions, please contact Nancy Stockner at (540) 213-7399

Resumes may be included, but not in place of an application

There is no guarantee of an interview in completing this application

In the event that the information provided on our application cannot be satisfactorily verified by employment reference checks, you will be notified by mail.

Thank You for your application!

Relief Sponsor Information