Apply Now — All Under One Roof Community Services

Download

Printable Forms

Prefer to fill out a paper application? Download, complete, and bring it with you. You can also preview each document before downloading.

📄

Resident Application (Fillable)

Fill out digitally on your computer — no printing needed

↓

📄

Resident Application (Print)

Print and fill out by hand

↓

📋

House Rules

Read our house rules and policies before applying

↓

📝

Rise Group Application

Mentorship program application — required for all residents

↓

Need help with documents? Contact us and we will guide you through the process.

Online Application

Apply Online

Fill out the application below and submit it directly. We will review it and get back to you within 2-3 business days.

Personal Information

First Name *

First name is required.

Last Name *

Last name is required.

Email *

Valid email is required.

Phone *

Valid phone number is required.

Date of Birth *

Date of birth is required.

Last 4 of SSN *

Last 4 of SSN is required.

Current Address

Housing & Recovery Background

Housing Status *

Housing status is required.

Recovery Status *

Recovery status is required.

Primary Substance *

Primary substance is required.

Clean/Sobriety Date (if applicable)

Employment & Income

Employment Status *

Employment status is required.

Income Source *

Income source is required.

Emergency Contact

Emergency Contact Name *

Emergency contact name is required.

Emergency Contact Phone *

Emergency contact phone is required.

Relationship to Contact *

Relationship is required.

How Did You Hear About Us? *

Referral source is required.

Additional Information (optional)

Agreements

I have read and agree to abide by the House Rules of All Under One Roof Community Services.

I certify that all information provided in this application is true and accurate to the best of my knowledge.

I consent to All Under One Roof Community Services contacting me regarding my application and program enrollment.

✓

Application Submitted

Thank you for your interest in All Under One Roof Community Services. We will review your application and be in touch within 2-3 business days.

Return Home

Contact Us

Questions Before Applying?

Have questions about the program or need help with the application? Reach out and we will get back to you as soon as possible.

✓

Message Sent

Thank you for reaching out. We will get back to you as soon as possible.