NEW COMPASS HOUSING                      Pre-Screening Form

Please complete this form to be considered for placement in our structured transitional sober living home.

We provide a safe, accountable, and drug-free environment. This is not a treatment facility.

If you are a good fit, we will contact you within 24–48 hours. 

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Email *
⚠️ This home requires full participation in structure, including curfews, meetings, and drug testing. Only apply if you are ready for accountability.
Contact Information
first name *
last name *
date of birth *
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gender *
Current address
(if no current address, enter city/location below)
*
Best way to contact you? (phone number and/or email)
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