Application

Full legal name

Preferred Name

Date Of Birth

Sober Date

Drug Of Choice

Estimated Move In Date

Estimated Length Of Stay

How Did You Hear About Thrive Recovery Homes?

Are You Currently In Treatment? Where? What Level Of Care?

Have You Ever Lived In Sober Living? Where? When?

How Do You Plan To Spend Your Days? Work, School, Treatment? Volunteer?

What Does Your Recovery Plan Look Like? 12 Step, Dharma, Smart Recovery, Other?

What Are Your Hobbies?

What Is Your Number One Goal At Thrive?

List Medications You Are Taking

Do You Have A Mental Health Diagnosis?

Do You Require Any Special Accommodation?

Have You Ever Been Convicted Of Arson?

Are You Required To Report To The Sex Offender Registry?

Are You Currently Involved In The Criminal Justice System?

What Are Your Charges?

What County Is Pretrial/Probation?

Message

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