Admission Form

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  • include drug(s), amount, route of administration, how long, past treatment
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  • In case of emergency, list contact person, including relationship, telephone number & address

  • PROGRAM CONTRACT

  • Sober Solutions, LLC provides recovery housing for those serious about seeking a clean and sober living environment. Our houses are furnished, contain a combination of single and double bedrooms, have fully applianced and equipped kitchens, telephone service, peer supports and employment direction, shared bathrooms, television with cable or satellite, and all houses are located near bus lines. The weekly program fee is $190.00/week, and an admission fee of $190.00 is charged. Please see attached house rules which are incorporated into this contract, and include mandatory house and 12-step meetings. If all rules are followed, and a two week notice of departure is provided, the admission fee is refunded, otherwise the admission fee is not refunded. $6.00 PER WEEK IS REQUIRED FOR HOUSE DUES, PAID AT THE HOUSE, FOR TOILET PAPER, CLEANING SUPPLIES, PAPER TOWELS, DRUG TESTS, ETC. When a participant moves out for any reason, all personal property must be removed. By signing below as applicant, I authorize Sober Solutions to discard or give away any personal property I do not remove within 72 hours of moving out. In no event is Sober Solutions responsible for participant's personal property, and program participants are encouraged to secure their own insurance. I agree that if l am away from the house for more than twenty-four (24) hours without notice, I will be deemed discharged. IF YOU ARE ELIGIBLE FOR THE BEHAVIORAL HEALTH RECOVERY PROGRAM {BHRP}, IT WILL COVER 100% OF YOUR PROGRAM FEE, FOR UP TO SIXTY (60) DAYS. THE ADMISSION FEE WILL NOT BE CHARGED UNTIL YOUR SUBSIDY (BHRP/ATR) ENDS AND YOU HAVE TRANSITIONED OVER TO A PRIVATE PAY BASIS, BUT HOUSE DUES OF $6.00 PER WEEK ARE COLLECTED AT THE HOUSE TO PAY FOR CLEANING SUPPLIES, DRUG TESTS, AND ITEMS SUCH AS PAPER TOWELS, TOILET PAPER, DISH SOAP, ETC.

  • HOUSE RULES & REGULATIONS

  • 1. NO ALCOHOL OR DRUG USE OR POSSESSION, INCLUDING PRESCRIPTION NARCOTICS & TRANQUILIZERS. ANY PROGRAM PARTICIPANT POSSESSING OR USING ALCOHOL OR DRUGS AGREES TO LEAVE THE HOUSE IMMEDIATELY, INTRA DAY

    2. ALL RESIDENTS MUST SUBMIT TO ALCOHOL & DRUG TESTING AT REQUEST OF HOUSE MANAGER, PROGRAM DIRECTOR, PROGRAM COORDINATOR, OR ASSISTANT PROGRAM COORDINATOR, INCLUDING ANY RANDOM TESTING.

    3. NO THREATENING, VIOLENCE, STEALING, DISRUPTIVE BEHAVIOR, OR ACTS OF DISHONESTY WILL BE TOLERATED.

    4. CURFEW REQUIRMENTS:

    • FIRST THIRTY (30) DAYS, MUST BE IN BY 11:00 PM
    • AFTER THIRTY (30) DAYS, FRIDAY & SATURDAY CURFEW IS 1:00AM

    5. MEETINGS: MANDATORY MINIMUM:

    • MANDATORY ATTENDANCE AT WEEKLY HOUSE MEETING
    • FOUR (4) 12 STEP MEETINGS PER WEEK, ON FOUR DIFFERENT DAYS - The mandatory weekly house meeting, outpatient programs or church services, do not count as part of your 4 ,12 step meetings.

    6. MINIMUM SIX (6) MONTH COMMITMENT TO SOBER HOUSE

    7. GUESTS:

    • NO OVERNIGHT GUESTS PERMITTED IN HOUSE
    • NO GUESTS FROM SUNDAY 8:00 PM THRU FRIDAY 5:00 PM C. GUESTS PERMITTED: FRIDAY 5:00 PM UNTIL 11:00PM, SATURDAY NOON UNTIL 8:00PM, & SUNDAY NOON UNTIL 6:00 PM

    8. OVERNIGHT ABSENCES:

    • FIRST THIRTY (30) DAYS, NO OVERNIGHT ABSENCES
    • AFTER THIRTY (30) DAYS, A LIMIT OF TWO (2) OVER NIGHT ABSENCES PER WEEK

    9. EACH PROGRAM PARTICIPANT MUST COMPLETE:

    • TWO (2) CHORES PER WEEK.
    • MUST KEEP THEIR PERSONAL AREAS CLEAN/ORDERLY.
    • PROGRAM PARTICIPANTS MUST PERIODICALLY HELP WITH MAJOR CHORES, SUCH AS SPRING & FALL CLEANUP, MAJOR HOUSE CLEANING, PAINTING, MOVING FURNITURE.
    • SNOW REMOVAL FROM WALKS AND STAIRCASES, ALONG WITH SPREADING ICE MELT, IS TO BE DONE BY OUR CLIENTS DURING AND AFTER EACH STORM. THESE DUTIES ARE CONSIDERED A CHORE.

    10. A $190.00 APPLICATION/ADMISSION FEE IS REQUIRED. IF ALL RULES ARE COMPLIED WITH, INCLUDING THE SIX MONTH COMMITMENT, THE ADMISSION/APPLICATION FEE WILL BE REFUNDED

    11. THE WEEKLY FEE IS $190.00 AND MUST BE PAID BY 4:00 PM FRIDAY, IN ADVANCE, FOR THE WEEK SATURDAY THROUGH FRIDAY. USE OF AN AIR CONDITIONER IS CHARGED FOR SEPARATELY AND IS NOT INCLUDED IN THE WEEKLY FEE. IF YOU ARE ELIGIBLE FOR THE SRHS (SUPPORTIVE RECOVERY HOUSING SERVICES) PROGRAM, IT WILL COVER 100% OF YOUR HOUSING COSTS, FOR UP TO SIXTY (60) DAYS, AND THE ADMISSION FEE WILL NOT BE CHARGED TO YOU UNTIL YOUR ELIGIBILITY TERMINATES.

    12. ALL PROGRAM PARTICIPANTS ARE REQUIRED TO BE OUT LOOKING FOR EMPLOYMENT MONDAY THROUGH FRIDAY, FROM THE HOURS OF 9 AM TO 3 PM. CLIENTS THAT ARE NOT ABLE TO WORK, NEED TO FIND APPROPRIATE DAY TIME ACTIVITIES DURING THOSE HOURS, IE: VOLUNTEER WORK, GO TO THE LIBRARY, 12 STEP MEETINGS, ETC. SLEEPING OR WATCHING TV ALL DAY, IS NOT AN OPTION IN OUR HOUSES. CLIENTS WHO SECURE WORK, CAN WORK THEIR OWN SCHEDULES.

    13. A LIMIT OF ONE CAR ON PROPERTY, WHICH MUST BE REGISTERED AND INSURED

    14. TWO (2) WEEK WRITTEN NOTICE OF DEPARTURE REQUIRED FOR RETURN OF APPLICATION/ADMISSION FEE. NOTICE PROVISION NOT WAIVED FOR PROGRAM PARTICIPANTS ASKED TO LEAVE FOR VIOLATING RULES

    15. NOT REPORTING THAT SOMEONE IS USING IS GROUNDS FOR BEING DISCHARGED

    16. SMOKING IS NOT ALLOWED IN ANY OF OUR HOUSES OR ON ANY OF OUR PORCHES. SMOKING IS ONLY ALLOWED AT THE PICNIC TABLES PROVIDED AT EACH HOUSE." "CLIENTS WILL BE SUBJECTED TO AN IMMEDIATE DISCHARGE IF CAUGHT SMOKING OUT SIDE THE DESIGNATED SMOKING AREA.

    17. ROOMS MUST BE KEPT CLEAN, TIDY, AND MAY BE INSPECTED/SEARCHED BY STAFF WITHOUT NOTICE

    18. AS A PROGRAM PARTICIPANT , I AGREE THAT UPON MOVING OUT OF THE HOUSE FOR ANY REASON WHATSOEVER, I WILL IMMEDIATELY REMOVE MY PERSONAL BELONGINGS. IN THE EVENT I DO NOT REMOVE MY BELONGINGS WITHIN THREE (3) DAYS, TIME BEING OF THE ESSENCE, I HEREBY AUTHORIZE THE DISCARDING OR GIVING AWAY OF MY BELONGINGS WITHOUT ANY COMPENSATION DUE TO ME. I ACKNOWLEDGE THAT I AM REQUESTING TO MOVE INTO A RECOVERY HOUSE WITH OTHER ADDICTS AND/OR ALCOHOLICS, SOME OF WHOM ARE IN EARLY RECOVERY, AND AGREE NOT TO BRING OR KEEP ANY PERSONAL PROPERTY AT THE HOUSE THAT HAS A SIGNIFICANT MONETARY OR SENTIMENTAL VALUE. AS PART CONSIDERATION FOR BEING ALLOWED TO MOVE INTO THE HOUSE, I AGREE TO HOLD THE OWNERS OF THE HOUSE, THE PROGRAM DIRECTORS, AND SOBER SOLUTIONS, LLC, HARMLESS FROM ANY AND ALL LOSSES I MAY HAVE, FROM THEFT OR OTHERWISE. I UNDERSTAND THAT MY BELONGINGS ARE NOT INSURED UNLESS I OBTAIN AN INSURANCE POLICY AT MY OWN COST. I FURTHER AGREE IF I AM AWAY FROM THE HOUSE FOR OVER 24 HOURS, WITHOUT NOTICE, I WILL BE DEEMED DISCHARGED.

  • VIOLATION OF ANY RULE MAY RESULT IN IMMEDIATE DISMISSAL FROM HOUSE!

    In the event of a grievance, clients are encouraged to speak with their peers and/or raise any necessary issues at the house meeting(s). If the grievance is not resolved, a meeting with the house manager should be requested. If the grievance is not resolved at the house manager stage, a meeting with one or both of the program directors shall be scheduled and their decision will be final.

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