Apply for Recovery Living | Northstar

1

Personal Information

Tell us who you are and how we can reach you.

Full legal name *Preferred name Date of birth *Phone number *Email address *Current city / state *

2

Recovery & Readiness

We are looking for people prepared to participate actively in a sober, accountable home.

How long have you been in recovery? *Date of last substance use *

Have you previously completed or participated in treatment? *

Yes No

Have you previously lived in a sober living or recovery residence? *

Yes No

Are you willing to participate in required alcohol/drug testing? *

Yes No

Are you willing to follow curfew, visitor, meeting, employment, and substance-free house rules? *

Yes No

Describe your recovery journey, including treatment, sober living, relapse history, and what has changed. *Why are you applying to Northstar now, and what do you want your life to look like 6 months from now? *

3

Employment & Financial Stability

Northstar expects residents to move toward lawful, verifiable employment and financial independence.

Current employment status *Most recent employer or verifiable work source *Current or most recent job title / type of work *Current or most recent work environment *Longest job held *How quickly could you obtain work if needed? *

Do you have reliable transportation to work and required appointments? *

Yes No

Is your current work/income source compatible with a substance-free home, standard house hours, and lawful employment verification? *

Yes No

List your employment/work history for the past 24 months, including approximate dates and why each position ended. *How do you currently support yourself financially, and how do you manage budgeting, bills, and savings? *

4

Independent Living & Society Integration

We want residents who understand ordinary adult responsibilities and are ready to practice them consistently.

5

Legal & Background Review

Answer accurately. Legal history is reviewed only as permitted by law and as relevant to safety, placement, employment readiness, and house requirements.

6

References & Verification

Provide people who can speak to your work ethic, reliability, recovery effort, or ability to live responsibly.

Reference 1 — name *Reference 1 — phone/email & relationship *Reference 2 — name *Reference 2 — phone/email & relationship *

7

30-Day Scholarship

The scholarship provides the first 30 days of Northstar Recovery Living rent-free for approved applicants.

Are you applying for the 30-Day Scholarship (rent-free)? *

Yes No

If yes, why do you need the scholarship? What is your employment plan during the first 30 days? How will you pay rent after the 30-day scholarship ends? What specific goals will you complete during your first 30 days at Northstar?

8

Certification & Authorization

Final review remains a human admissions decision.

I authorize Northstar to verify the employment, references, and background information I provided, consistent with applicable law and any additional consent required for a formal consumer report.I certify that my answers are complete and truthful. I understand that admission and any scholarship are subject to staff review and are not guaranteed by submitting this application.

Northstar uses this information for admissions, placement, safety, scholarship review, and permitted verification. Recovery and legal information is sensitive; access is limited to authorized staff.

Apply forRecovery Living

Personal Information

Recovery & Readiness

Employment & Financial Stability

Independent Living & Society Integration

Legal & Background Review

References & Verification

30-Day Scholarship

Certification & Authorization

Apply for
Recovery Living