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Application processing is delayed by about one week. We are working to process applications as quickly as possible. If you have NOT heard back from us in 2 weeks, please call us or email us.


    
     
   
  • User Information
  • Basic Details
  • Mental Health Information
  • Demographic Information
  • Education, Employment,
  • Skills

Grand Avenue Club (GAC) is based on “the Clubhouse Model of Psychosocial 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 areas at the outset of membership. GAC is unable to accept individuals whose primary diagnosis 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. We are also interested in employment and/or educational goals individuals may have.

 

This form is for potential members that have the following information (preferably their own):

  • Cellphone Number

  • Email Address

All potential members must live in Milwaukee County.

 

Please reply honestly to the questions that follow. Your responses will help our Membership Team get to know you. All information is kept confidential and helps with applying for grants.

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

 

This application will take about 15 minutes to complete. After finishing, you will be provided with additional instructions.

Please enter the address where you would like to receive postcards and other mailings in regards to your membership application process and other member only postcards.

Address Line 1  *
Address Line 2
City  *
State or Region  *
Country
Zip

We will verify your diagnosis with your provider after the application has been submitted. 

Address Line 1
Address Line 2
City
State or Region
Country
Zip

Grand Avenue Club offers opportunities to discover and use your strengths, talents, and abilities. All work at GAC is intended to assist you in enhancing your self-worth, purpose, and self-confidence.

Please rate the following from 1 to 5 stars with 1 being not important to me at this time to 5 being the most important to me at this time.