Apply

P.O. Box 262
Idledale co 80453

tlcministry23@gmail.com

(303)-519-4081

Living Requirements & Fees

First 30 Days & Phases

Name

Address

Email

Phone

Date of Birth

Drivers License/ID Number and State Issued

Martial Status

Requested Move-in Date

Sobriety Date

Emergency Contact - Relation - Their Phone Number

Vehicle: (make, model, year)

Are you on probatation/parole? If so, where?

Describe your substance use:

Describe your Christian experience:

Please describe your ideal living situation:

Have you been convicted of Arson?

Are you required to register as a Sex Offender?

Please check the boxes if this applies to you:

My life has become a prision

It might be the sin in my life that has caused lack of freedom

Please check next to each of the following to acknowledge that you have read and understand the following statements:

Our homes are able to operate because each Resident pays their share of the fees.

Each Resident is expected to pay their fees promptly and on time.

Each Resident must supply their own food.

TLC sober-living home is completely sober with a zero tolerance policy.

Any drug or alcohol use is grounds for immediate dismissal from the home.

All prescription drug use must be approved by TLC Leadership. Failure to notify may result in immediate dismissal from the home.

service is highly recommended.

Each Resident must follow the rules set forth within the TLC House Manual.

By signing this application, you declare that all of your responses are true and complete and authorize TLC Ministries or its authorized agent to verify this information and perform a criminal background check. Any false statement on this application can lead to rejection of your application or immediate removal from the home. This IS NOT A LEASE and you understand that if accepted, this arrangement may be terminated by either party at any time if you fail to adhere to the rules set forth within the TLC Ministries House Manual. A criminal record does not immediately disqualify you from participating in our program and each applicant is reviewed on a case by case basis.

Type "Sign" Your Name

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