Apply for Residency

Take the first step toward your recovery journey

Residency Application

Please complete all required fields below. Your information will be kept confidential.

Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

Current Address

Emergency Contact

Contact Name *

Relationship *

Contact Phone Number *

Employment & Financial

Current Employment Status *

Current/Most Recent Employer

Can you afford the $1,500 move-in cost (first month + admin fee)?

Yes Need assistance No

Background Information

Do you have any pending legal matters?

Yes No

If yes, please explain:

Are you a registered sex offender?

Yes No

Additional Information

How did you hear about Lynwood House?

What are your recovery goals? *

Anything else you'd like us to know?

Acknowledgments

I understand that Lynwood House requires a minimum 90-day commitment and I am willing to commit to this requirement. * I understand that I will be expected to participate in 12-Step recovery, maintain sponsorship, attend meetings regularly, submit to nightly breathalyzers, and follow all house rules. * I certify that the information provided in this application is true and accurate to the best of my knowledge. *

We will review your application and contact you within 24-48 hours.

What Happens Next?

Application Review

We'll review your application within 24-48 hours.

Phone Interview

We'll call to discuss your application and answer questions.

Move-In

If approved, we'll schedule your orientation and move-in date.

Questions Before Applying?

Feel free to reach out if you have questions about our program or application process.

Call (769) 226-1678 Contact Us