(1) MC Edit

Membership Contract

 

Please enter your full name, exactly as it is recorded in the application.

First Name:
Client first name

Middle Name:
Client middle name

Last Name:
Client last name

 

All policies listed below are contained within our resident handbook provided to you and placed within an accessible area within each housing unit.

 

Resident Rights

I acknowledge that I have received, reviewed, and understand the Resident Rights and Responsibilities Policy, including my rights to dignity, respect, safety, fair treatment, and access to the grievance process, as well as my responsibility to maintain sobriety and comply with house policies.

Initials: Initials Text field

 

Acknowledgement of Services Provided

I acknowledge that Be Home is a recovery-oriented sober living residence designed to provide a safe, substance-free, and supportive environment for individuals working toward greater independence, stability, and long-term recovery.

I understand that Be Home provides housing, case management, recovery accountability, peer support, house meetings, goal planning, and assistance connecting with community resources. Residents are encouraged to actively participate in their recovery and personal development and are responsible for completing actions related to their own goals and needs.

I understand that Be Home does not provide medical care, mental health treatment, clinical counseling, medication administration, legal representation, transportation, employment placement, financial services, or other professional services. While Be Home may assist with referrals, resource navigation, and support, these services are provided by outside organizations and professionals.

Initials: Initials Text field

 

Program Commitment

I understand that Be Able Housing is a recovery-oriented, sober living program that provides structure, accountability, and support. I acknowledge that recovery is a long-term process and that participation in this program is voluntary.


Initials: Initials Text field

  

Financial Obligations

  • I agree to pay a weekly program fee of $130, due as instructed.
  • Payment is my responsibility and must be made without reminder.
  • $5 fines may be assessed for:
    • Missed required meetings
    • Failure to keep my room or shared spaces clean
    • Disabling smoke and CO detectors
  • No program fees may be prepaid without approval.
  • No refunds are issued once a program week has begun.
  • Failure to remain current on payments may result in program dismissal.  

Initials: Initials Text field

 

Employment & Participation

  • I agree to pursue full-time employment unless approved otherwise.
  • If unemployed, I agree to job search during weekday hours.
  • Residents unable to work due to disability or health limitations may be required to volunteer as able.
  • I agree to attend required meetings, programming, and case manager sessions.

Initials: Initials Text field

  

Substance-Free Living

  • I agree to a zero-tolerance policy for alcohol, illicit drugs, and unauthorized substances.
  • I consent to drug and alcohol testing.
  • Refusal to test is treated as a positive result.
  • Positive tests may result in immediate dismissal

Initials: Initials Text field

 

 

Relapse Policy

I acknowledge that I have received, reviewed, and understand the Relapse Policy, including expectations regarding sobriety, accountability, disclosure of substance use, relapse response procedures, and the potential consequences of relapse or substance use policy violations.

Initials: Initials Text field

 

House Rules & Conduct

I agree to:

  • Follow curfew and overnight rules
  • Maintain cleanliness and complete chores
  • Respect others’ privacy and property
  • Avoid threats, violence, theft, or harassment
  • Use respectful language
  • Prohibit weapons and pornographic material
  • Follow visitor and room-access rules

Initials: Initials Text field

 

 

Community & Neighbors

  • I will act as a respectful neighbor.
  • I will not loiter, smoke in front of houses, or create disturbances.
  • I will follow parking rules.

Initials: Initials Text field

  

 

Grievances

  • I may raise concerns informally or through a formal grievance.
  • I understand I may appeal unresolved grievances to the Missouri Coalition of Recovery Support Providers.
  • I will not face retaliation for filing a grievance.

Initials: Initials Text field

 

 

Exit & Property

  • I agree to remove my belongings upon exit.
  • Abandoned property will be held for 30 days, then donated or disposed of.

Initials: Initials Text field

  

 

Medication Policy

  • I will disclose all prescribed medications.
  • I will not possess or use unauthorized narcotics.
  • I will not share medications.  

Initials: Initials Text field

 

 

_________________________________

 

Acknowledgment

  • I acknowledge that I have received, reviewed, and had the opportunity to ask questions regarding each of the above documents.
  • I understand and agree to abide by the policies and procedures contained therein.

 

Signature:
Signature

Printed Name:
Text field

Date:
Date