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Application Form 


Please fill in the form below. 



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Resident Financial Agreement


Jeffrey’s House is a sober working environment that provides stabilization and a supportive sober atmosphere.



The general criteria for acceptance into Jeffrey’s House are:



•Residents must be sober and actively maintaining sobriety by being involved in structured recovery.



•Residents must have the ability to pay $150.00 dollars rent weekly. First week and the last 2 weeks’ rent is required, therefore there is a total payment of $450.00 dollars to enter the house. IF A RESIDENT IS ASKED TO LEAVE BECAUSE OF A RULES VIOLATION, THERE ARE NO REFUNDS. If leaving is voluntary, you must give a two-week notice. During this two-week period, payment of rent is not required since all residents have a two-week reserve that will be used to pay their rent.



•Residents must have a willingness to cooperate with other residents and contribute to improving the house and community.



House Rules



•Residents are expected to abstain from alcohol and other substances. If a resident is using alcohol/drugs or involved in any drug activity, their occupancy at Jeffrey's House will be immediately terminated. In addition, residents must agree to submit to one (1) randomly scheduled drug test per week.



•Sexual contact between residents is cause for immediate occupancy termination.



•Rent is due by Friday prior to leaving the House for the weekend. Non-payment of rent is subject to disciplinary action and may result in occupancy termination.



•Disruptive, threatening or abusive behavior to residents and/or staff will not be tolerated and subject to occupancy termination.



•Residents must agree to participate in a minimum of three (3) N/A or AA meetings per week.



•Residents must agree to participate in one (1) urine screens per week.



•Residents must attend one (1) in-house meeting weekly.



•All residents must be in the house by 11 pm. Sunday through Thursday; weekends by 12 Midnight.



•New residents of Jeffrey’s House will not be permitted to have overnights for one month. Overnights are Friday or Saturday, but not both.



•Residents must be willing to do assigned chores.



MY SIGNATURE INDICATES THAT I HAVE READ AND UNDERSTAND ALL OF THE AFOREMENTIONED, AND IF I AM ACCEPTED, I AGREE TO ABIDE BY ALL OF THE RULES AND RESPONSIBILITIES OF THE HOUSE OR BE SUBJECT TO DISCIPLINARY ACTION WHICH COULD RESULT IN IMMEDIATE OCCUPANCY TERMINATION.

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