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Recipient Application
Recipient Application
Hope & Olive assists individuals who have experienced life-altering circumstances by providing restorative services in a safe environment, allowing them to move into the next season of their life with hope and a sense of victory.
22Questions
Recipient Application
Language
  • English (US)
  • 1

    Disclaimer & Terms

    Applications must be filled out by the applicant themselves. Applications filled out on behalf of another individual cannot be accepted.

    Pregnant or nursing? We cannot approve applications at this time, because these services can not be performed on pregnant or nursing individuals. We still want to hear your story, and welcome your application in the future.

    If you are under the routine care of a physician for a medical condition, you may be asked to obtain written approval before services can be provided.

    Applicants must be 18 years old at the time of application submission.

    Hope & Olive promises to treat your application with the utmost respect. Your full application will never be shared outside of the Hope & Olive Board of Directors, Applicant Review Committee, and if approved, the artist that you will be working with. Please note that by completing this application, Hope & Olive has permission to use your first name, state of residence, and story, as well as before/after photos for marketing purposes. We will never share or use any other identifying information in any materials and you will have a choice in how much is shown in your photos (see question 9 of the application).

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  • 3
    You must me 18 at the time of application to be considered as a recipient.
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    Pick a Date
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  • 4
    You will receive a conformation via email.
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  • 5
    Please provide the best phone number to contact you.
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  • 6
    Please Select
    • Please Select
    • Alabama
    • Alaska
    • Arizona
    • Arkansas
    • California
    • Colorado
    • Connecticut
    • Delaware
    • District of Columbia
    • Florida
    • Georgia
    • Hawaii
    • Idaho
    • Illinois
    • Indiana
    • Iowa
    • Kansas
    • Kentucky
    • Louisiana
    • Maine
    • Maryland
    • Massachusetts
    • Michigan
    • Minnesota
    • Mississippi
    • Missouri
    • Montana
    • Nebraska
    • Nevada
    • New Hampshire
    • New Jersey
    • New Mexico
    • New York
    • North Carolina
    • North Dakota
    • Ohio
    • Oklahoma
    • Oregon
    • Pennsylvania
    • Puerto Rico
    • Rhode Island
    • South Carolina
    • South Dakota
    • Tennessee
    • Texas
    • Utah
    • Vermont
    • Virgin Islands
    • Virginia
    • Washington
    • West Virginia
    • Wisconsin
    • Wyoming
    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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    The cities/states listed below are currently where you can apply to receive complimentary permanent make-up services through Hope & Olive. Hope & Olive is continually growing and if you do not see a city/state near you, please make sure to follow us for updates! If you are not near one of our locations, but are willing to travel, we welcome you to apply! If selected for services, please note that all travel related to your 3 appointments would be at your own expense. Not every service is available in every state, please be sure to visit our Network Artist page to view available services based on location.
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    If in treatment, a doctor’s note is required to receive permanent make-up services. This is for your safety (chance of infection) and integrity of services (body could reject pigment) as well as to protect our artists from any liability. Please note that even with a doctor's note, final approval (or denial) of permanent make-up services is at the discretion of the artist.
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    Drag and drop files here
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    Max. file size: 10.6MB
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    *STOP* Please do not submit your application at this point.

    Please obtain a doctor’s note with permission to receive permanent make-up services while in treatment. Once a note is obtained, please revisit our application and select the option of 'Yes and I HAVE a doctor's note' and upload the note with the photos that are requested later in the application. Please note that even with a doctor's note, final approval (or denial) of permanent make-up services is at the discretion of the artist. We look forward to receiving your application at a later time! Please feel free to contact applicants@hopeandolive.org with any questions.

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    Choose only one service. If an applicant is approved for a service, they are only able to be provided that service; change requests cannot be honored.
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  • 14
    Note: Hope & Olive, Inc Artists do not perform services over past work. Applicants cannot have had work done on the area previously. By choosing 'Yes', you will not be allowed to complete this application.
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  • 15
    Note: By checking 'Yes, I agree' below, you are agreeing to these terms and will be able to move forward with the application. If you choose 'No, I do not agree,' you will not be able to continue with your application.
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    Note: Permanent make-up requires touch-up services from time to time. On average, touch-up appointments are about once a year. By checking ‘I understand’ below, you are agreeing to these terms and will be able to move forward with the application. If you choose 'No, I do not understand,' you will not be able to continue with your application.
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  • 17
    250 words minimum.
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    25 words minimum.
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  • 19
    Please provide Hope & Olive with CURRENT photos of the area you are hoping to receive services for with no make-up or photo filters. Please upload as many photos as you believe are essential to Hope & Olive understanding what services are needed. If applying for areola restoration, photos are optional. Image should be CLEAR with good lighting to best show the impacted area.
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    Max. file size: 2.0MB
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  • 20
    The Olive Grove Retreat will welcome you into our Hope & Olive Family through education, relaxation and lasting relationships.
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  • 21
    Check all that apply.
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  • 22
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  • 23
    This is optional and will in no way impact your application outcome with Hope & Olive Inc. Your donation is tax deductible and you will receive an email receipt, should you choose to donate.
    prevnext( X )
    USD
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