Behavioral contract

BEHAVIORAL CONTRACT EMPOWERING POTENTIAL HOUSING - 3-DAY NOTICE TO PERFORM COVENANT OR QUIT 

I, Client first name  Client last name, am a resident in Empowering Potential Recovery Home.  This is a sober living residence that provides an authentic peer to peer-based recovery support system.  While I reside here, I am encouraged to actively participate in my recovery and am expected to adhere to the posted rules/guidelines implemented by management.

I am being placed on this Behavioral Contract/given this 3-day notice to perform covenant or quit for the following reason(s):

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(i.e. use mind-altering substances while living in this sober home, failing to perform my chores, not following other rule (curfew, guests policy, etc.).  Please be specific as to what rules where broken!

I will set these immediate goals to help me change my action/behavior:

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You have 3 business days from the date of this notice to cure this covenant or quit (move out) - you may be given grace to continue staying at Empowering Potential Housing if you immediately make changes as spelled out above.  

If I am unable to meet my goals, I will be asked to leave Empowering Potential Housing, (without a refund of any monies paid if applicable).  

Text fieldThis is notice that you are in violation of the health and safety of the other residents in the home and are notified that you are to move out immediately as of the date of this notice.

Resident:Signature    

Date: Date

 

Manager: Signature     

Date:  Date

Home location - please mark which home - Text field7089 Benson Ave, SD  92114 OR Text field 1755 Eldon Court, El Cajon 92021 OR Text field 3507 Valley Vista Rd, Bonita, CA  or Text field 1613 Watwood Rd, Lemon Grove 91945 OR Text field 6236 Tooley St, SD  92114 OR Text field 3474 Angwin SD  92123 

If resident refuses to sign, or any other issues please note here for interventions:

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