DOOR TO SERENITY
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If you have been turned away by other facilities because of your race, religion, sexual orientation or gender identity, please don't give up! Reach out to us - we can help!   
Call  251.610.3389

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Living Clean: The Residence Application

BEFORE YOU BEGIN
Please know that the information contained in this email will be held to the highest standards of privacy and will be used only for the purposes of providing necessary details for your application for residency in the Door To Serenity residential facilities. By completing this application, you are also signifying your compliance and willingness to live within the standards of the LIVING CLEAN agreements.

    ​INSTRUCTIONS:

    Please complete all fields that are relevant to you and note that some fields have an * indicating they are required for every applicant. When completed, you will received an acknowledgment page indicating that your data has been safely sent only to the Executive Director, Lisa Teggart.

    Essentials


    Work Status

    Max file size: 20MB

    Health History






    Social / Vehicle /Legal


    Before hitting the SUBMIT button, please acknowledge that you understand that this information submission constitutes your desire to enter into a contractual, lifechanging agreement for yourself and peers with whom you will be sharing a portion of your life.  You are also attesting that you have reviewed the rules of the road found in the LIVING CLEAN document and are prepared to abide by those standards.  To acknowledge your agreement and be ready for submission, please enter your full legal name in the box provided below.
Submit
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P O BOX 11265  ∙  MOBILE, AL  36671  ∙ TEL 251.202.7235
  • Home
    • VISION, VALUES AND MISSION
    • OUR COMMUNITY
    • LEADERSHIP
    • BOARDROOM
  • DONATIONS
    • FEATURED SPONSORS
    • Goodwill Easter Seals
  • CLIENTS
  • HOUSEWARMING
  • Contact