Redemptions Recovery

Confidential intake

Application for Redemptions Recovery

Complete the full housing application to begin admissions. Follow-up questions appear only when they apply. Submissions are sent securely to the resident portal for our team to review. You can also download a PDF application.

This is the full Redemptions Recovery housing application. Required questions are marked with *. Follow-up questions appear only when they apply, and those answers are required.

Prefer paper? Download the PDF application. Questions? Call (920) 888-4465.

  1. You
  2. Health
  3. Housing
  4. Legal
  5. Recovery
  6. Work
  7. Sign
1 About you
Marital status
Do you have children?
2 Health
3 Housing history
Have you lived in a sober living home before?
Have you ever been asked to leave a sober living or treatment program?
4 Legal
Are you currently on probation or parole?
Are you legally allowed to leave the county?
Do you have any open charges?
Have you ever been convicted of a felony?
Do you have any violent offense convictions?
Do you have any sexual offense convictions?
Have you ever been incarcerated?
Are there any restrictions (court orders, probation terms, registry requirements) that could affect your residency?
5 Recovery
Do you have a sponsor?
Are you currently in treatment?
6 Work and fees
Current employment status
Do you agree to pay your program fees in full if accepted?

Program fees are required for residency. Selecting No will prevent this application from being submitted.

7 Signature

I hereby certify that the above information is true and accurate to the best of my knowledge. I understand that false or incomplete information may result in denial of admission to Redemptions Recovery.

Your answers are sent securely to the resident portal for our admissions team.