Application for Assisted Living

We recognize that the completion of this form is time-consuming and that the confidentiality of this information is the paramount concern. Thank you for your understanding of our need to request this information.

Download and Print the form above. Once completed, send back via Mail to the address provided below:
    Lutheran Sunset Home
    Attn: Application for Tenancy
    333 Eastern Ave.
    Grafton, ND 58237
Thank You!

Lutheran Sunset Home • 333 Eastern Ave. • Grafton, ND 58237 • Phone: (701) 352-1901 • Email:

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