Follow the steps to complete your application online with ease.

1. Press the ‘Get Form’ button to obtain the application form and open it in your preferred editor.
2. Provide the date in the format ____/____/____ at the top of the form.
3. Enter your contact number in the designated space labeled 'Contact # ____________'.
4. Print your full name clearly in the section labeled 'Print Full Name ______________________________________'.
5. Fill in your date of birth in the format ____/____/____.
6. Indicate if you have a valid driver's license or a picture ID by marking the appropriate box. Specify the state of issuance.
7. State the county of your residence in the section labeled 'County of Residence _______________.'
8. Indicate your highest level of education completed, including the name of the school or if you have obtained a GED.
9. Detail your treatment history in the section provided: 'TREATMENT HISTORY __________________________________________________'.
10. List any prescribed medicines currently taken in the section: 'Prescribed Medicines: _____________________________________________________'.
11. Answer the employment question by indicating your current employment status. If employed, write the name of your employer.
12. List any skills you possess in the section labeled 'What skills do you have? ___________________________________________________'.
13. Declare if you are receiving unemployment or disability benefits. If applicable, specify your disability.
14. If you have dependent children, indicate the number and answer whether you are paying child support along with the amount.
15. Provide information about any pending legal charges, including the relevant state, county, and court.
16. List any past convictions, including the respective state and county they occurred in.
17. In the final section, explain your reasons for applying to live at the Sober Living Program, using additional paper if needed.
18. Make sure to read and understand the certification statement, affirming that the information provided is truthful. Sign at the designated area.
19. Complete the interviewer's section with their signature after your interview.
20. Once all information is complete, save your changes, download the form, and print it or share it as necessary.

Take action now and complete your application online to start your journey!