SOBRIETY COMMITMENT: Zero tolerance for use, possession, or being under the influence of drugs or alcohol, including marijuana. Urine testing required upon arrival and monthly for first 6 months. Additional testing may occur if use is suspected. Immediate peer support required for violations.
CURFEW: First 30 days: 6PM curfew (unless working with house approval). After 30 days: 10PM Monday-Friday. Weekend curfew may extend to 11PM with house vote approval following resident request. No overnight stays until after 60 days and requires house vote approval.
MEDICATION MANAGEMENT: All medications must be stored in provided lockboxes with key kept on person. Medications must be properly labeled with resident's name and not expired. No methadone or unauthorized medications permitted.
RECOVERY ENGAGEMENT: Weekly attendance at church services and regular participation in approved recovery meetings required. Exceptions to be brought before house vote.
HOUSE MEETINGS: Mandatory weekly house meeting every Sunday at 4:30PM. Exemption requests must be presented to the house for vote. Missed meetings require makeup within 72 hours as determined by house leadership.
EMPLOYMENT: Submit 5 job applications daily until employed. Proof of employment required within 2 weeks and hire date within 30 days. Extensions or accommodations require house vote approval.
FINANCIAL RESPONSIBILITY: Timely payment of all resident fees as outlined in residence agreement. Residents are responsible for their own food. Payment plans or extensions require house vote approval.
HOUSEHOLD MAINTENANCE: Maintain cleanliness of personal spaces daily. Complete assigned weekly. chores decided by house vote. Participate in Saturday deep cleaning Contribute to yard maintenance as scheduled by house vote.
RESPECTFUL CONDUCT: No violence, theft, harassment, or sexual misconduct permitted. Respect the property and your fellow residents.
QUIET HOURS: No loud music. Only Christian music/radio allowed without headphones. No music without headphones after 9PM. Modifications to quiet hours for special occasions require house vote approval.
VISITOR POLICY: Visitor requests presented to house for vote with 48-hour notice. Sunday visits only between 1:00-4:00PM unless modified by house vote. Guest policy regarding gender restrictions may be reviewed by house vote. All guests must depart by time agreed upon by house vote.
WEAPONS PROHIBITION: No weapons of any kind permitted on premises. Violation results in immediate discharge.
PEER ACCOUNTABILITY: Two peer support violations for the same rule within a 30-day period constitutes a breach of agreement and may result in termination of residency. Appeals may be brought before house vote.
COMMUNITY ENGAGEMENT: Residents are expected to participate in house activities, support fellow residents in recovery, and contribute positively to the house community as decided collectively.
I acknowledge that I have read, understand, and agree to follow these rules. I understand that violation may result in peer support intervention or termination of my residency agreement. I also understand my right to participate in house governance through the democratic voting process.

HOUSE RULES

RESIDENT APPLICATION

Room assignments depend on availability and may change based on house needs. Monthly payment options will be discussed during orientation. This month-to-month agreement requires 30-day written and verbal notice before leaving, with all financial obligations to be fulfilled regardless of departure date. By signing, you accept all terms and agree to follow House Rules established by group vote. Major decisions require majority vote, with all residents having equal voting rights. Breaking rules may result in termination of residency, decided by house vote except in cases of violence, substance use on property, or illegal activities, which may require immediate removal for safety.

**Breaking house rules or agreements may result in termination of residency, subject to house vote except in cases of violence, substance use, or illegal activities on the property, which may require immediate removal for safety.

Name:

First Name

Last Name

Email:

Phone Number:

(###)

###

####

Date of Birth:

YYYY

What is the best way to contact you and when is the best time to contact you?

Current Address (If Applicable):

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Desired Move-In Date:

YYYY

Emergency Contact Name:

First Name

Last Name

Emergency Contact Phone Number:

(###)

###

####

What made you choose Life Recovery Homes as your next step in your recovery journey?

Briefly tell us about your recovery journey, and what it means to you?

Please provide a summary of your substance use history, including substances used, for how long, and the last time you have used:

Does Faith play a role in your sobriety? Please explain:

Are you willing to attend recovery-based meetings, either hosted in-house or through a third-party organization, on a regular basis:

Yes

A requirement of our program is to participate in structured time (church/groups/serving in the community) List any reasons/ if any, you would be unable to meet this requirement?

Where do you want to be in a year from now?

Monthly Income:

Type of income:

To move in you are required to pay a non-refundable move-in deposit of $100. List any reasons you would be unable to pay?

Please list at least 3 references with contact info:

Do you have any disabilities that would prevent you from being self-sufficient?

Please list all medications, doses, and reasons they are prescribed to you (No narcotic and addictive medication allowed on site, ALL MAT services such as methadone/suboxone must be administered off site and are NOT allowed on property):

Do you currently have a PCP (primary care provider) or would you need support in finding one?

Are you in treatment with any other mental health or substance use providers? If so, please list them here and summarize how long you have been engaged in treatment:

Do you have any felony convictions? If yes, please list the charge(s) and conviction dates. A criminal history will not necessarily disqualify you. We will run a background check to confirm. (S.O. and Arson charges are an automatic disqualification):

Are you on parole? (P.O. Name, Number, and Email):

How did you hear about us? Be as detailed as possible (name, location, etc.):

Please provide any other additional information that would be helpful for us to know while reviewing your application:

Check the box below for option desired (Prices based on included utilities + Unlimited High speed 5G WI-FI):**ALL ROOMS DESIRED ARE BASED ON AVAILABILITY AND SUBJECT TO CHANGE**

$200 weekly

$800 monthly

private bathroom w/Wheelchair accessibility for those with disabilities or debilitating medical conditions AVAILABLE upon request

I hereby acknowledge that I have read and understood the responsibilities, expectations, and terms outlined in this agreement and agree to abide by them to the best of my abilities.