Siging Application

Application Process

  • Complete a new resident application
  • Participate in an on-site interview – Unless currently in inpatient treatment
  • Provide valid driver’s license OR state ID

Resident Eligibility Requirements

  • Attending daily meetings aimed at building a personal relationship with God
  • Willingness to be a participating member of their recovery classes
  • Maintaining a full-time job
  • Paying a nominal program fee which teaches each resident how to responsibly manage their income and allows them the opportunity to finance a portion of their recovery
  • Adhering to house guidelines (Click here to view guidelines.)
  • Passing a pre-entrance 12 panel drug screen plus a daily or weekly random test
Fill out the pdf form

Click “FILL OUT THE PDF FORM” button and the form will asked to be saved on your computer. Save it, complete it, save it as “YourName-12way-application”. Email the completed form to administration@twelveway.org.

ONLINE APPLICATION