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Eligibility Requirements

1 Willing to live drug and alcohol-free (including THC and CBD).

2 The cost is $150 per week.

3 One-time intake fee of $200.

4 Must test drug-free upon move-in.

5 Subject to random drug testing.

6 Rooms are shared.

7 Prescribed Rx allowed, but must be kept in personal safe provided by the Keepsake Abode Foundation.

Submit Very carefully, and Our Team Member will get back to you soon.

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Name
If you don't have a physical address, you can use a mailing address, or the address of your closest living relative. If this is NOT your address, please indicate whose address this belongs to, and their relationship to you
If so, could you tell us more? If you're currently enrolled, please include which school and classes you're taking.
If so, please list them here. Do not leave this question blank. Please write "none" or "N/A" if you have no current prescriptions to acknowledge that you've answered this question.
This could attending AA, NA, or SAA meetings. Do not leave this question blank. Please write "none" or "N/A" if you're not attending any meetings as a means to acknowledge that you've answered this question
Do you smoke or chew tobacco?
Smoking or chewing tobacco is not prohibited at any of our homes; however, you must do so in designated areas.
Do you have a job?
Do you have a vehicle?
Do you have a drivers license?
Please list all, including names of your case worker, and / or point of contact for each agency. Do not leave this question blank. Please write "none" or "N/A" if you're not affiliated with any local agencies as a means to acknowledge that you've answered this question.
Do not leave this question blank. Please write "none" or "N/A" if you have no current pending legal charges as a means to acknowledge that you've answered this question.
Any charges pending? Please include charge[s], county, status, and DOC number. Do not leave this question blank. Please write "none" or "N/A" if you have no arrest record as a means to acknowledge that you've answered this question.
Are you willing to live in an alcohol and drug free environment, including THC and CBD?
You must include the following: Their first and last name, phone number, email, address (including city, state, and zip), and their relationship to you.
You must include the following: their first and last name, phone number, email, address (including city, state, and zip), and their relationship to you.

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