Program Application Interested in living at Sonder? Fill out the following application and we will be in touch shortly! Name * First Name Last Name Date of Birth * MM DD YYYY Email * Phone * (###) ### #### Current Address * Emergency Contact * Emergency Contact Phone * (###) ### #### Are you currently sober? * Yes No Currently Detoxing How long have you been sober? * Less than 30 days 1-3 Months 3-6 Months 6 Months- 1 Year More than One Year Have you ever lived in a sober living facility? If yes, what facility and when? * What substance(s) were you using prior to your sobriety? * Alcohol Prescription Drugs Illicit Drugs Other Do you have any medical conditions that require regular treatment? If yes, please explain. * Are you currently prescribed any medications? If yes, please list. * Do you have any mental health diagnoses (e.g., anxiety, depression, PTSD, etc.)? If yes, please list. * Are you currently receiving mental health treatment or therapy? If so, how often are you seeing your specialist? * Do you have any pending legal issues (court dates, probation, etc.)? If yes, please explain. * Are you currently on probation or parole? If yes, please describe. * Have you ever been convicted of a felony? If yes, please describe. * Are you currently employed? If so, please list job, job title, employer, and time you've been in the position. How do you plan to meet your financial responsibilities (rent, food, etc.) while living at Sonder Sober Living? * What is your biggest challenge in maintaining sobriety? * How do you believe living in a sober living home will aid in your attempt to maintain sobriety? * Why do you want to live in a sober living home? * What are your personal goals while living in this facility? * What is your experience with the 12-step program or a similar recovery approach?a * Do you have a sponsor? * Yes No Do you agree to follow all rules and policies while living at Sonder Sober Living Facilities? At Sonder Sober Living Facilities, LLC, we have strict rules and policies to ensure a safe, structured, and substance-free environment. These include: -- No drugs, alcohol, or mind-altering substances on or off the premises. -- Full participation in random drug and alcohol testing. -- Adherence to house rules, curfews, and responsibilities. -- Participation in house meetings, chores, and recovery-related activities. Yes No Thank you!
