APPLICATION FOR RESIDENCY

Are you currently at a treatment facility?

Have you stayed in a recovery house in the past?

Do you have current or pending leagal charges?

Are you on probation or parole?

Do you have an active warrant?

Are you a sex offender?

Have you been convicted of a violent crime?

Are you employed?

Do you have the funds available for rent?

Do you have a spouse or family willing to help pay?

Do you collect SSI or disability?

Will you be applying for a grant?

Have you participated in 12-step recovery before?

Do you have a sponsor?

Are you currently taking any medications?