What is your full legal name?

What is your current address?

What is your email address?

What is your phone number?

Background Information

Are you currently in recovery? (Yes/No)

Have you previously resided in a sober living environment? (Yes/No)

If yes, please provide details:

Are you committed to attending recovery-based support groups (e.g., AA, NA, SMART Recovery)? 

Have you ever been convicted of a felony? (Yes/No)

If yes, please provide details:

Do you have any medical conditions we should be aware of? (Yes/No)

If yes, please provide details:

Are you currently on any prescribed medications? (Yes/No)

If yes, please list:

Do you have any allergies? (Yes/No)

If yes, please list:

References

Please provide two references (personal or professional):

Name:

Relationship:

Contact Information:

Name:

Relationship:

Contact Information:

References

Please provide two references (personal or professional):

Name:

Relationship:

Contact Information:

Name:

Relationship:

Contact Information:

Acknowledgment and Agreement

Zero tolerance for aggressive behavior, verbal, or physical.

Zero tolerance for theft.

Agree to participate in random drug and alcohol breathelizers, screenings, and testing. Failure of one of these screenings will result in immediate removal from home. 

If guest/tenant violates any of the agreed upon terms, there will be immediate removal from the home without further notice requirements from landlord. 

Monthly housing fee is the sole responsibility of guest/tenant, if guest/tenant is on a program that supplies funds for housing it is the responsibility of the guest to set up and maintain the program requirements. If failure to pay occurs through the program, the responsibility is of the guest/tenant to pay for monthly housing expense. Failure to pay fees will result in immediate removal from the home. 

Acknowledgment and Agreement

By typing my full name and date below, I confirm that all the information provided in this application is accurate and complete. I agree to adhere to the rules and policies of SG Living LLC. I understand that falsification of any information may result in denial of my application or termination of my tenancy.

Personal Commitments and Understanding

Please acknowledge the following by writing "I accept all" in the space provided below:

 I will adhere to all house rules and policies, including curfews and meeting attendance.☐ I understand this is a drug- and alcohol-free environment.☐ I commit to participating in house activities, including daily chores, weekly meetings, and deep cleans.☐ I agree to abide by the zero-tolerance policy on bringing substances onto the property.☐ I understand that non-compliance with house rules may result in discharge from the program.