Apply for Housing

Take the first step toward recovery. Complete our housing application to get started on your journey to a stable, supportive environment.

Housing Application

Tell us about yourself and your recovery goals. We're here to help you find the right home.

Full Name *

Email *

Phone Number *

Date of Birth *

Emergency Contact Name *

Emergency Contact Phone *

Current Living Situation *

Recovery Background & Journey *

Length of Sobriety *

Primary Substance of Concern *

Support Groups / Programs *

Employment Status *

Employer / School Name *

Previous Housing Experience *

Preferred House Location *

Move-in Timeframe *

Why do you want to join One Recovery Housing? *

Your Recovery Goals & Vision *

Additional Information or References *