Restoring Hope Community Homes
Resident Application (Draft)
This application helps our team understand your situation, needs, and hopes for recovery housing. You are not required to disclose a full treatment history.
In development
Restoring Hope Community Homes is currently in the planning, partnership, fundraising, property-evaluation, and leadership-development stage. The first home is not yet open and is not currently accepting resident applications.
This notice will remain visible until the board formally approves opening and admissions.
Draft — not yet live.
The Restoring Hope Community Homes board has not yet approved admissions. This application form is being finalized and is not currently accepting official submissions. It will become available once the home is approved and open. Until then, you may request opening and referral updates.
Please do not include detailed lists of controlled-substance prescriptions, full diagnosis histories, or legal case numbers in this form. A staff member will gather any additional information needed during a private interview.
What the Application Will Ask
A Preview of the Draft Application
Be honest — your answers will be kept secure and reviewed only by authorized staff.
1. About You
- First name, last name, email, and phone
- Date of birth and preferred pronouns (optional)
- Current address, city, state, and ZIP
2. Emergency Contact
- Name, phone, and relationship
3. Your Current Situation
- Current housing situation (stable housing, couch-surfing, shelter, treatment facility, pre-release/re-entry, unstable, other)
- Employment status and source of income (optional)
- Where you are in your recovery, sobriety/clean date (optional)
- Current treatment and supports (e.g. counselor, IOP/OP, MAT, recovery meetings)
- Current medications relevant to care (optional — do not list controlled substances in detail)
4. Your Hopes & Goals
- Why do you want to live at Restoring Hope Community Homes?
- What goals would you like to work toward? (e.g. stable housing, employment, relationships, health, faith)
- What are your strengths?
- Who supports you right now?
- Church or faith background (optional — faith is invited, never required)
5. References
- Two references who can speak to your recovery, character, or situation (not family if possible)
- Name, phone, and relationship for each
6. Accessibility & How You Heard
- Accommodations or accessibility needs (optional)
- How did you hear about us? (counselor/treatment provider, church, friend/family, recovery meeting, online search, community resource, other)
7. Acknowledgments
- Willingness to follow the home’s rules and community expectations, including house meetings, curfews, and shared responsibilities
- Consent to a background check as part of the application process
- Understanding that faith is invited and encouraged, but never required for housing, care, or belonging
- Understanding that the home is a substance-free, violence-free environment
- Consent to be contacted by Restoring Hope Ministries about the application
8. Signature
- Your full legal name, typed as your signature
- Applications are saved securely and reviewed only by authorized staff
This is a draft form pending board approval of admissions. When the home is approved, the official application will open here.
Care That Is Measured — Because People Are What Matter
Restoring Hope Ministries tracks the well-being of every participant in our clinical and faith-based services using empirically validated screeners, clinical interviews, behavioral analysis, and self-report — so we can honestly see whether the people we serve are getting better. This rigor reflects the training of our founder, Dr. Gross, whose clinical psychology education and practical training at the Medical College of Wisconsin prepared him for this type of organization and care.
