WeCare Recovery Home

Application for Residency

WeCare is a 12-month, residential recovery program for women. We do not discriminate on the basis of age, race, creed, ethnicity, religion or marital status.

1
Personal
2
Motivation
3
Substance & Legal
4
Medical & Mental Health
5
Support & Family
6
Review & Submit

Step 1: Personal Information

Step 2: Motivation & Recovery

Not motivated Very motivated
5 / 10

Step 3: Substance Abuse & Legal Information

Drug History

List your drug(s) of choice (up to 4)

Legal Status

Step 4: Medical & Mental Health

Medical Information
Smoking
Not motivated Very motivated
5 / 10
Mental Health & Trauma

Step 5: Support & Family

Support System
Dependent Children

Step 6: Final Details & Agreement

Financial Status
Vehicle Information
Work Requirements
Fee Schedule
  • Intake fee is $200 due upon arrival
  • $150 per week program fee will be paid by the resident
  • Refunds, if applicable, will be prorated based on day of departure
Final Agreement

I have completed this application honestly and agree to the following:

  • This is a 12-month residential, Christ-Centered program
  • I agree to actively participate in the program
  • I consent to a background check