Verification
/Approval Signature
The WINIFRED STUART MANKOWSKI HOMES consist
of separate bungalow-apartments, each complete with a kitchen, where
the residents can prepare their own meals. They will also do their
own housework except for a periodic general cleaning service. No
central dining room or nursing facility is provided. There is, in
the Administration Building a library and a social-lounge room for
the enjoyment of the residents. In addition, a laundry room with
washers and dryers is also available.
Are these living arraignments acceptable to you? Yes
No
I thoroughly understand the questions and answers in this application
and if accepted as a resident will, as a working Christian Scientist
do everything possible to support the purpose and aims of the WINIFRED
STUART MANKOWSKI HOMES in the promotion of an enlightened sense of
advancing years for the other residents as well as for myself. I
also understand that if accepted for tenancy, it will be on a monthly
rental basis to continue as long as I demonstrate the capacity to
live independently and harmoniously support the rules of the Homes,
the terms of the MANKOWSKI TRUST, and the general good of all who
reside in the Homes.
I hereby grant permission to the WINIFRED STUART MANKOWSKI FOUNDATION
and its agents to contact the references and to verify such information
as is deemed necessary to process this application. I further attest
to the fact that all I have stated in this application is correct
to the best of my knowledge and belief.
By selecting the submit button, you agree to all terms and provisions stated in this document.