Apply now

Take the first step toward a supportive home.

Complete this confidential initial application. Our team will review it and contact you to discuss availability, fit and next steps.

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You don’t have to do this alone.

This application is a starting point, not a commitment. Answer what you can, and our team will follow up respectfully.

Please do not include highly sensitive medical details. This form is not monitored for emergencies.

About you

First name

Last name

Phone

Age

Preferred contact

Housing needs

Preferred move-in date

How soon do you need housing?

How did you hear about us?

Readiness & support

Are you committed to living in a substance-free home?

What are your goals for recovery housing?

Questions or anything else we should know?

I confirm that the information above is accurate and agree that Overcomers Recovery Residences may contact me about this application.

Submitting this form does not guarantee placement. Admission depends on eligibility, fit and availability.

If you need immediate help: This application is not monitored for emergencies. Call 911 for an emergency or call/text 988 for crisis support in the U.S.