Application - Phoenix House of BoisePhoenix House of Boise

Thank you for choosing Phoenix House!

Please fill out the form and click ‘submit’ after you are done.

OR Download a PDF version by clicking here: Resident application
Fax applications to 208-545-7917

We will be in touch with you shortly!

Phoenix House New Resident Application

Which Phoenix House Location are you applying for? *

Boise
Nampa
Mountain Home

Name *

First

Last

Age

Best phone number to reach you

Emergency contact name AND relationship

Emergency Contact Number

Secondary phone number

Current Address *

How long have you been clean and/or sober? *

Please list why you want to be accepted to the Phoenix House now.

Have you ever lived in a sober living home before?

Are you currently enrolled in Drug Court?

How are you planning on paying for rent? *

A $70 move in fee is due on move in. What is your requested move in date?

I have read the above notice and understand that I am applying for entrance to Phoenix House Sober Living as a member of a recovery home. I agree to abide by the responsibilities and requirements of the house and fully subject myself to the rules of the home, which include periodic/random drug testing. I understand that I am subject to immediate expulsion from the home if any of the following occur: 1) I use alcohol or drugs (other than prescribed medications); 2) I engage in disruptive behavior (continued patterns of irresponsible behavior are considered disruptive behavior); 3) I fail to pay my monthly dues. I understand that if I leave voluntarily I will submit a 3-week verbal notice to vacate to the house manager, By signing below, I certify that the information contained in this application is true. I have read and understand the Phoenix House Sober Living rules and policies. I understand and accept the above conditions set forth for membership to Phoenix House Sober Living, and agree to abide by said conditions should I be selected as a resident.

Enter Name as Signature

Phone

Privacy Policy

Phoenix House does not collect personally identifiable information about you other than what you freely share.
You have the option of entering personally-identifiable information about yourself, including name, address, demographic data such as age and income, interests, etc. Phoenix House uses this information to contact you in regards to your application status.
Phoenix House does not share any of your personally-identifiable information outside the Phoenix House organization.
You retain full control over all information you share about yourself, and may remove or request removal of this information at any time.
Phoenix House uses generally accepted industry standards to protect the information submitted to us.