Welcome to the Hensley House Application Wizard 🪄
Thank you for considering Hensley House Sober Living Home!
So that we can help provide you with the best possible fit for where you are in the recovery process, please complete the New Resident Application Form below.
The collected registration data is kept strictly confidential.
👇IMPORTANT - PLEASE READ👇
PRE-QUALIFICATION
🚫 BEFORE YOU APPLY - READ THIS CAREFULLY
Hey brother - quick heads up before you dive in.
We’re really intentional about who we bring into Hensley House. Not because we’re trying to be difficult, but because what we’ve built here actually works… and protecting that environment matters a lot.
This section might feel like a lot upfront, but it’s here for one simple reason:
👉 to save you time and make sure this is actually a good fit before you go through the full application.
If everything below lines up with where you’re at - awesome, we’re pumped to meet you.
If not - no hard feelings at all, we just don’t want you wasting your time on something that isn’t the right fit.
P.S. Yes, this application isn't typical for a sober house - we get it. We would prefer to have an empty bed than have a guy who isn't a good fit - so we're very intentional about this application. We only want guys who are very serious about their program of recovery and who put a priority on re-learning how to enjoy life without booze or drugs. We're a super tight knit family of brothers in Hensley House and we want to keep it that way!
Alright, let’s get into it 👇
You MUST meet ALL of the following:
☑ Male only
☑ Minimum 30 days sober prior to arrival
☑ NOT taking any MAT medications (Suboxone, Methadone, etc.)
☑ NOT prescribed any controlled (scheduled) medications
* “Scheduled medications” = DEA controlled substances (Schedule I–V)
* If you are unsure whether your medication is controlled, please verify before applying.
* Failure to disclose controlled medications prior to admission will result in immediate discharge.
☑ If bringing a dog, space must be available and the dog must be spayed/neutered
☑ Working a 12-step program or willing to work a 12-step program
☑ Able to follow curfew and structured house rules
☑ Able to attend mandatory Sunday night house meetings
☑ Able to pay first month’s rent + registration fee upfront
💼 Employment Requirements (NON-NEGOTIABLE):
☑ Your job must NOT interfere with curfew
☑ No overnight shifts
☑ No door-to-door sales jobs
☑ No roofing industry jobs
☑ Food service allowed ONLY for trained/professional chefs
🚫 This program is NOT a fit if:
✖ You are currently using drugs or alcohol
✖ You are on MAT or controlled medications
✖ You are unwilling to work a 12-step program
✖ Your job conflicts with curfew or structure
✖ You cannot meet financial requirements
Checkboxes I confirm that I meet ALL of the above requirements
✅ If you meet ALL of the above, click NEXT to continue your application.
General
Tell us about yourself
What is your first name? *(Please put your first and last name as they appear on your driver license)
Client first name
What is your last name?
Client last name
When is your birthdate? (do not put today's date)
Client birthdate
Contact Information
How can we reach you?
Email address:
Client email
Cell Phone number:
Client phone
Street Address:
Client Address
Emergency Contacts
Give us a few people that we can reach out to in case of an emergency. (it is a REQUIREMENT to list at least one emergency contact)
Name of emergency contact: Text field
Relation to emergency contact: Text field
What is their cell phone number: Text field
Name of emergency contact: Text field
Relation to emergency contact: Text field
What is their cell phone number: Text field
For Those Currently In Treatment
If you are currently in a treatment center and don't have regular access to your phone, list a contact person at the treatment center we can call to discuss your sober living options.
Contact
Medical History
Tell us about your medical history.
What is your sobriety date?
RecoveryHistory
What date did you last drink or use?
Date
What is your substance(s) of choice? Add multiple by clicking in the box and selecting different options
Client substances of choice
Have you ever been diagnosed by a medical or mental health professional with any psychological or psychiatric conditions?
Please list ALL diagnoses you have received (past or present), even if they are currently well-managed or no longer active.
Add multiple by clicking in the box and selecting different options. If none, please type "none" in the box.
Client diagnosis
Have you ever been diagnosed by a medical professional with a moderate or severe traumatic brain injury (TBI) that resulted in ongoing cognitive or behavioral impairment? (Prior concussions or minor head injuries without ongoing symptoms are not considered a traumatic brain injury)
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Do you currently have, or have you ever had, any medical or physical health conditions that may impact your daily living, responsibilities, or participation in a structured environment?
Please list ALL relevant conditions (past or present), including any that are currently managed or stable.
Add multiple by clicking in the box and selecting different options. If none, please type "none" in the box.
Client health problems
Have you ever been hospitalized or institutionalized for attempted suicide or having suicidal ideations?
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Are you an insulin dependent diabetic?
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Have you ever been diagnosed with COPD? (Chronic Obstructive Pulmonary Disease)
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Medications
Please list ALL medications you are currently prescribed and taking.
For each medication, include:
Medication name
Dosage (mg)
How often you take it (frequency)
Example: Sertraline 50mg — once daily
If you are taking multiple medications, list each one separately.
If none, type: None
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Legal
Have you ever been convicted of any sexual related offenses or child abuse related offenses?
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Getting to know you:
Have you ever lived in a shared sober living or group housing environment?
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If yes, what challenges, if any, did you experience with other residents?
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When conflict arises with peers, how do you typically handle it?
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Have you ever been asked to leave a sober living, treatment center, or shared living environment?
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If yes, please explain
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Hensley House is a structured, male-only environment with clear expectations around respect, boundaries, and peer relationships.
Have you ever experienced ongoing interpersonal issues in shared living environments?
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If yes, please explain
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What do you believe you bring to a house environment like Hensley House?
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What does ‘brotherhood’ mean to you in recovery?
(This is a very important question - no one-word answers here please)
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What’s something small that tends to annoy you more than it probably should?
(Be honest — don’t overthink it.)
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Tell us about a time you were clearly in the wrong and how you handled it afterward.
(Be specific. We are looking for a real example, not a general answer.)
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Pet Owners
Hensley House is a dog friendly house. There are a limit of 3 dogs allowed in each house. Each dog must be properly house broken and must get along with other dogs. Each dog must be spayed or neutered PRIOR to entry. Proof of all current shots and vaccinations is required as well as monthly flea, tick, and heartworm medication. No dogs allowed under 1 year old. Each dog owner must provide a crate for their dog. All dogs will undergo a one to two week "trial" period to see if they are house broken and if they get along with other dogs.
Are you wishing to bring your dog with you?
Radio buttons
If you answered yes, what is your dog's name?
Text field
Treatment Center/s
Tell us about the most recent treatment center you've been admitted into. If you don't have all the details of the most recent treatment center you've been to, please list the name of the treatment center, what city and state it was in, your best guess of when it started and ended, the type of treatment center, and the reason for discharge. Additionally, if you are currently in a treatment center, please list the details of the current facility you are in.
TreatmentCenterHistory
Occupancy
What date would you like to move into Hensley House? Date
The minimum length of stay at Hensley House is 3 months (90 days). Are you willing to commit to staying at Hensley House for a minimum of 90 days?
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Will you be able to provide a clean urine sample when you arrive?
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Last one
Are there any unique circumstances or anything you would like us to know about your situation before you submit this form?
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