• Application for Residency

    Please fill in the form below.
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  • Useful Telephone Numbers

    Family, Friends, Doctor, Etc.
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  • By hitting the submit you agree to allow the staff of The Avenues Program to discuss my background and treatment with other professionals and agencies. I understand for the protection of myself and others there may be a need for the Board of Directors or the staff of The Avenues to check my legal standing and criminal background. I also understand that I am giving permission for the staff of The Avenues to contact any and/or all names and facilities on this application. I have read all the questions and answered them honestly. I agree to not use non-prescribed drugs, consume alcohol or violate the law while living at The Avenues. I agree to maintain gainful employment. I agree to stay current with my service fees. I agree to attend all required meetings and classes. I agree to participate in weekly house meetings and share regular house chores. I agree to these conditions because recovery from drug abd/or alcohol addiction is important to me.

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