REQUEST FORM
REPEAT RESIDENTS ARE SUBJECT TO A 6 MONTH PROBATION AND ADD’L 3 MONTHS FOR OTHER REQUESTS. THOSE WHO ARE FOUND TO BE DATING DURING THAT PERIOD WILL BE EVICTED. YOU MUST HAVE AN APPROVED JOB AT ONE OF OUR PARTNER BUSINESSES.  PH2 RESIDENTS MAY NOT CARRY PHONES ON VAN OR AT 1198. VEHICLE REQUESTS REQUIRE WEEKLY DRIVING COMMITMENT AND YOU MAY NOT TRANSPORT GUYS ON PROBATION WITHOUT *** SENIOR STAFF APPROVAL. YOU MAY NEVER DRIVE PH2 RESIDENTS FOR “SOCIAL,” OR NON-APPROVED PURPOSES. 
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Email *
Type of Request: *
Name Of Resident: *
Date of Admission (repeat residents are subject to special requirements) *
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Who is your current sponsor?
Are you employed full time? *
Do you carry a zero balance on rent? *
Where are you currently employed?  *
Identify your home group: *
No private communication with females from  meetings or local businesses. ANY NON-WORK RELATED CONTACT WITH ANY FEMALE ON THE JOB WILL RESULT IN EVICTION. Any contact with females in recovery will result in permanent eviction and DATING IS HIGHLY DISCOURAGED. If you leave any medical facility AMA you are evicted. Only transition residents may work outside Calabash. Bedroom TV’s are a phase 3 privilege. Agree? *
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A copy of your responses will be emailed to the address you provided.
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