Deborah’s House Mission Statement:

Deborah’s House supports women who have completed an in-patient program for their ongoing recovery
from the disease of addiction by providing a safe sober-living home, spiritual mentoring and modeling
life skills for their continued success.

Deborah’s House, a ministry of Corazon San Antonio, is for women who are in recovery
from addiction. We provide housing for nine to eighteen months with rent based on a sliding scale, not to
exceed $400.00 per month.

Our residents must agree to abide by all Deborah’s House (DH) rules and guidelines. We have zero
tolerance for drugs, alcohol, sexual or illegal activity. There is a 10:00 p.m. curfew Sunday through
Thursday (12:00 a.m. on weekends), random drug/breathalyzer tests, random room inspections,
mandatory household chores, volunteer work, and employment or participation in a training program.

We require each resident to regularly attend 12-step meetings and work the steps with a sponsor. This
will be confirmed by DH staff. Each week the resident is required to participate in a faith community of
their choice. Developing a wide network of support greatly reduces the possibility of relapse.
Additionally, the resident will participate weekly in "Breathing Under Water", a faith-based 12-step program. The resident will be paired with a trained mentor who will assist in her spiritual journey as the resident completes the Breathing Under Water workbook and journal. Residents will meet with their mentor weekly. DH is a faith-based ministry - not simply a place to live. We believe our residents can transform their lives, if they are willing to go to any length and trust God. Our residents must believe
this, as well. DH believes transformation occurs only when women commit themselves to the process of recovery, of
which we believe there are four vital components:

- Sobriety: Our residents must have completed an in-patient recovery program immediately
prior to entering DH and continue to actively participate in a 12-step program.
- Safety: DH must provide a safe environment for our residents to heal and grow.
- Spirituality: DH residents must become part of a faith community that will sustain them and
support them in times of trial and temptation.
- Solvency: DH believes that earning a decent wage, one that provides self-sufficiency, will
give DH graduates the confidence and financial stability to maintain their sobriety.

If you are serious about your recovery and would like to complete the application, please fill out form below.

Client first nameClient middle nameClient last name

Date of Birth:

Client birthdate

Client phone

Client email

Client AddressClient CityClient StateClient Zip

Emergency Contact information

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Please list family members.

Family Members

Are you estranged from your family?  Please explain:

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Do you have any children?  Names and ages?

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Please include education history.

EducationHistory

Please include treatment center history.

TreatmentCenterHistory

Do you have any current health concerns?

Client health problems

Are you currently on medications?  Please list.

Medication

What was your substance of choice?

Client substances of choice

Please Include Recovery History

RecoveryHistory

What type of recovery program do you attend?

Client kinds of meetings attended

What step are you on?

Client step

Please list sober living history if any.

SoberLivingHistory

Do you have any other compulsive behaviors?  Ex: Gambling, online dating, co-dependency..etc

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Do you have any job skills?

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Are you currently employed?

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Please list employment history below.

EmploymentHistory

Are you a veteran?

Client veteran status

Have you been incarcerated?  What is your criminal history?

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Are you currently on probation or parole?  Please explain:

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Are you part of a church?  What is your religious background and beliefs?

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What do you hope to learn at Deborah's House? 

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Do you feel you would be an asset to our program?

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Do you feel that a therapuedic family centered community of women would be beneficial to your recovery?  Why or why not?

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Is there any other information you would like to share about yourself?

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By continuing, you agree that your electronic signature is the legally binding equivalent to your handwritten signature. Whenever you execute an electronic signature, it has the same validity and meaning as your handwritten signature. You will not, at any time in the future, repudiate the meaning of your electronic signature or claim that your electronic signature is not legally binding.

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