Bridge to Recovery

Bridge to Recovery is a sober living residential program for women. Residents can remain in the program for 6-12 months. This program is structured to reinforce sobriety in a safe, supportive environment. Interested individuals are encouraged to apply below.

First Name*

Last Name*

Date of Birth*

Month

Day

Year

Email*

Phone*

Address*

How long have you been sober?*

Which substances have you used (in your lifetime)?*

Alcohol

Marijuana

Methamphetamines

Amphetamines

Cocaine

Heroin

Fentanyl

Prescription Meds

Other

Have you ever received professional treatment for your addiction?*

Yes

No

What was the name of the progam?

Did you complete the program?

Yes

No

How long has it been since you left the program?

Less than 1 month

1-3 months

3-6 months

6 months - 1 yr

More than 1 year

Are you currently employed? ) If so, where?*

Do you have children that are currently in your custody?*

Yes

No

Why do you believe that you should be selected for this progam?*

CONTACT US

339 Atlanta Hwy SE

Suite 300

Winder, GA 30680

Phone: 470-206-5616

Federally Recognized 501c3 Organization

info@h2o-4u.org

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