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About

Brothers In Recovery, Inc. is a non-profit organization that helps individuals move into a life of recovery from addiction. Our organization helps provide sober living for those in recovery and access to resources, so that individuals may obtain drug/alcohol treatment. We are committed to educate those addicted to drugs and/or alcohol about substance abuse. We strive to eliminate stigma by promoting public awareness about substance abuse recovery and life coaching.

(405) 301-3789

contact@brothersinrecovery.com

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About BIR
- Our Stories
- Team
- Events
- Careers
Sober Homes
- Clean Country Living
- BIR Mentoring Home
Partners
Get Involved
Apply
Adventures
Shop
Contact Us

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We Don't Give Up on Anyone Because Miracles Happen Everyday!

Brothers in Recovery Application

Start Your Journey to Recovery Today!

If is not too late for them! Its definitely not too late for you!

Initial Cost & Monthly Rate

We require $100 down for the first month which goes towards groceries. The rent is 500 per month. If the lease is start after the first the rent will be prorated. The $100 is a down payment and is not prorated.

Application Process

How to get started:

Fill out the application form.
1. Make sure all necessary documents are attached.
Interview with the executive director.
Schedule Your Move-In Date

Application Checklist

Applicants must provide the following:

Photocopy of the Driver’s License or other form of photo ID
Brothers in Recover Sign Rules Agreement Form (download here)
Medical Authorization (Allowing the outreach to verify doctor’s appointments, prescriptions and diagnoses.)
Any other requested documents needed to approve your residency

Download Rules

Application

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Mobile
Email*
Date of Birth*
Marital Status*
- Single
- Married
- Divorced
Marital History
Number of Children
Date of Sobriety*
Do you have the ability to pay the first month's rent ($525) the day you check in?*
- Yes
- No
We require $100 down for the first month which goes towards groceries. The rent is 425 per month. If the lease is start after the first the rent will be prorated. (Example: $425 Rent/30 Days in 1 Month = $14.17 per day) The $100 is a down payment and is not prorated.
T-shirt Size
- X Small
- Small
- Medium
- Large
- X Large
- 2 XL
- 3 XL
Are you currently working*
- Yes
- No
If so, where?
Do you have transportation?*
- Yes
- No
Are you a parent?*
- Yes
- No
What medications are you taking?*
- Yes
- No
Have you ever been convicted of a felony or misdemeanor other than traffic offenses?*
- Yes
- No
If you checked yes for the previous question, please list ALL charges. *
Are you willing to have a criminal background check performed?*
- Yes
- No
Are you willing to be regularly drug tested?*
- Yes
- No
Are you a registered sex offender?*
- Yes
- No
Is living in a halfway house, sober living home, or mentoring home a condition of any probation, court order or as a requirement to maintain or secure a professional license? **
- Yes
- No
If you answered yes to the previous question, please identify the entity requiring this of you and their contact information.
What makes you believe you are ready to address your drug/alchol use?
What are your triggers?*
What would be warning signs to your mentor and housemates that you are entering and emotional stat of relapse?
What are you willing to do to create a life in recovery (be specific)? **
Preferred Move-in Date?*
Past Experiences
When was the last time you used a substance? What substance did you used?
Longest period of sobriety?
Number of times sobriety attemped?*
Why did you relapse?*
What was your response to relapse?*
List all drugs used/abused in the past, including tobacco products and approximate date of last use: **
Describe any sober living programs previously involved in, length of stay and reason for leaving. *
What do you believe the role of your mentor would be in helping you live that life in recovery? *
Emergency Contacts
Next of Kin (include name, relationship, address and phone number) *
Emergency Contact 1*
First Last
Emergency Contact 1 Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact 1 Phone*
Emergency Contact 1 Email*
Emergency Contact 1 Relationship*
- Husband
- Wife
- Mother
- Father
- Brother
- Sister
- Uncle
- Aunt
- Cousin
- Grandfather
- Grandmother
- Friend
- Boyfriend
- Girlfriend
- Other
Emergency Contact 2 Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact 2 Phone*
Emergency Contact 2 Email*
Emergency Contact 2 Relationship*
- Husband
- Wife
- Mother
- Father
- Brother
- Sister
- Uncle
- Aunt
- Cousin
- Grandfather
- Grandmother
- Friend
- Boyfriend
- Girlfriend
- Other
How did you hear about Brothers in Recovery?*
What are your short-term goals?

List 3 short term goals you would like to accomplish.
What are your long-term goals?

List 3 short term goals you would like to accomplish.
How long are you willing to commit to Brothers in Recovery?*
What are your best qualities?
Who are three people that are a positive influence on your life?
We want to get to know you better? Tell us your story?*
Documents*
Drop files here or
Please upload the following: Signed Agreement, Copy of your drivers license/ID, Medical Authorization, etc.
Today's Date*
Signature