Harmony House is a second-stage shelter for women and children who are survivors of violence. With this application, you can be considered for housing with Harmony House. The purpose of the form is to help us learn more about you and assess what your particular needs are. Please answer them completely and accurately. The confidentiality of the information you provide will be respected, though it may be used anonymously for statistical purposes. The completed form will be saved to our database and will not be transmitted by e-mail.