Sober Support application form

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The ECHO Housing Initiative is designed to help recovering individuals, who do not have the means to support themselves while in the initial stages of treatment, take the first step back towards becoming productive members of society by providing financial assistance towards safe and supportive sober living housing, personal needs and art for recovery programs while in recovery.

Email *

Name *

First and last name

Email *

Phone number *

Current Address *

Please include any special contact instructions:

1. Explain why you are applying for a scholarship and the amount you are requesting: *

2. Are you employed? If so, Employer’s contact information: *

3. If you are seeking a scholarship for a recovery house, please explain why living in a recovery house is important to you and your recovery: *

4. What treatment center or recovery house are you currently living at or accepted to move into? *

5. Please list the support tools that you currently utilize in your recovery: (examples - AA, NA, private counseling sessions, Smart or Celebrate Recovery, etc. ), how often you attend and if you have a sponsor: *

6. Please share any information that you feel is important for the ECHO Scholarship Committee to know about you (how you plan on moving forward in your recovery or accomplishments you’ve already achieved): *

7. List three (3) reasons why living in recovery is important to you: *

8. Would you be willing to volunteer your time in support of future events or fundraisers? *

9. Write a paragraph or two about how you feel the ECHO Scholarship will benefit you and your future: *

Contact Reference for scholarship request. Please enter a name of a representative from treatment, jail, or a recovery house that we may contact about my current situation and scholarship request. Enter name, phone number, organization/relationship. *

By submitting this application, I (the applicant) give permission to a member of the ECHO board to speak with the contact submitted by phone, who is a representative from treatment, jail, or a recovery house about my current situation and scholarship request.I agree that the ECHO Foundation Scholarship Initiative will not be held liable for my actions and outcome of my recovery once funds are received on my behalf. *

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A copy of your responses will be emailed to the address you provided.

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