Application 

Note:  If you are on Colonopin, Subutex, Suboxone or Methodone- You must be detoxed from these items specifically.

You will be notified if you have been accepted into the house. Once you arrive at the house you will pay a $5 fee and will be given a drug screen.  If you do not pass this screen, you will not be admitted.  If you do pass this screen, the initial fee of $115 (1 week rent @ $100; 1 weeks general supplies @ $10.00.  All initial fees are non-refundable).

Name *
Name
Birthdate *
Birthdate
Phone
Phone
Include contact name and number
Include contact name and number