REQUEST FORM
REPEAT RESIDENTS REQUIRE AN ADD’L 6 WEEKS FOR ANY REQUEST. YOU MUST HOLD A LOCAL JOB APPROVED AT ONE OF OUR PARTNER EMPLOYERS IN CALABASH. JOB CHANGE REQUIRES MIN 9 MONTHS SOBER RESIDENCY. REQUESTS MUST BE APPROVED BY SPONSOR. PHASE 3 RESIDENTS MUST BE INVOLVED IN SPONSORSHIP TO REQUEST PRIVILEGES
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Email *
Type of Request: *
Name Of Resident: *
Date of Admission (repeat residents require a 12 week wait) *
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Who is your current sponsor?
Are you employed full time? *
Are you capable of maintaining and currently carry a zero balance on rent? *
Are you willing, able and actively making every required mandatory meeting? *
Where are you currently employed?  *
Identify your home group and service commitment (keep this short) *
Calendar may only be reserved 6 weeks in advance. No one may communicate with females in recovery or date within your workplace. No resident may operate a business or recruit another. Do you agree? *
Required
A copy of your responses will be emailed to the address you provided.
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