Get Application For Membership In Oxford House 1

Filling out the Application For Membership In Oxford House 1 online is a straightforward process that is designed to help you provide essential information for consideration. This guide will walk you through each step of the application, ensuring you complete it accurately and efficiently.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with section 1, where you will enter your print name. Fill in your last name, first name, and middle name, as applicable.
3. Next, provide your date of birth by selecting the month, day, and year from the dropdown menus.
4. Enter your present address. Include the street, city, state, and zip code. If you are currently in a treatment facility, check the corresponding box.
5. Fill in your contact information. Provide your home and work phone numbers, ensuring they can be reached.
6. Indicate whether you identify as an alcoholic and state the date of your last drink.
7. Answer whether you have a drug addiction, including the date of your last drug use and listing the drugs you have used addictively.
8. Provide information about your participation in Alcoholics Anonymous (AA) or Narcotics Anonymous (NA). Indicate when you attended your first meeting and the number of meetings you currently attend each week.
9. Express your desire to stop drinking and using addictive drugs by selecting either yes or no.
10. Indicate your employment status and provide details if you are currently employed, including your employer's name.
11. State whether you receive welfare or other income and provide details if applicable.
12. If you are not currently employed, respond to whether you plan to seek employment and describe your job plans.
13. Report your current monthly income and your expected monthly income for the next month.
14. Select your marital status from the provided options.
15. Answer whether you have a medical doctor and provide their name and phone number if applicable.
16. Specify whether you have attended any treatment facilities for alcoholism or drug addiction before and provide the necessary details if applicable.
17. Indicate if you take any prescription drugs and outline the reasons for their prescriptions.
18. On the back side of the application, provide your desired move-in date, followed by an explanation if it is not immediate.
19. Indicate whether you have previously lived in an Oxford House and respond accordingly to the follow-up questions.
20. Complete the emergency contact section by listing two contacts along with their relationship to you.
21. Acknowledge your understanding of the conditions associated with residency by reviewing item 26 and signing your name, followed by the date.
22. Finally, ensure that all fields are completed accurately. Once you are satisfied, you can save changes, download the document for printing, or share the form as needed.

Complete your application online today and take the first step towards recovery.