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Application

we’re pouring out hope

Apply to Join the She Brews Transition Program

Transforming your life and embarking on a journey to recovery is your choice. We encourage you to take the first step and apply today.

Safe and affordable housing, solid
community, and mentorship can be
the start of your second chance.

We encourage applicants to fill out the following application with honesty and vulnerability, as these are foundational pillars of rebuilding your life. Rest assured, all responses are securely stored and reviewed by our trained team members.

She Brews Transition Program Guidelines & Standards are available to read and download here.

Transition Program Application Form
Full Name
Full Name
First
Middle
Last
Is this your legal name?
If not, what is your legal name?
If not, what is your legal name?
First
Middle
Last
Sex
Are you a registered sex offender?

Personal History

How long are you willing to commit to the She Brews Transition Program?
What is your t-shirt size?
Have you read the rules and guidelines required for the She Brews Transition Program?
Do you agree to abide by the rules for the duration of your stay in the program?

Medical History

Have you ever considered suicide?
Have you ever attempted suicide?
Do you currently feel suicidal at this time?
Are you currently taking any medications?

Family Medical History

Do you suffer from:
Do any family members suffer from:

In Case of Emergency

NAME OF CASE MANAGER
NAME OF CASE MANAGER
First
Last