james madison university
college of health and behavioral studies

Family Application


You are invited to download the family application and return it to Kathy either by mail or as a scanned document sent via e-mail.

Once your application is received, Kathy will contact you to set up a home visit. During that visit she will meet both the caregiver and the care receiver to determine if the placement is appropriate for CCN students.

Placements of students are contingent upon student enrollment. Additionally, families may be placed on a waitlist if they apply mid-semester when all students have already received their placements.

Families must live in Harrisonburg or Rockingham County and be 60 years old or older. Our CCN respite services focus on the social-emotional aspects rather than medical or personal care concerns.

Download the Application