A ministry of the Redwood Gospel Mission
1048 Wild Rose Dr., Santa Rosa, CA. 95401
Phone: 707.576.1471 Fax: 707-576-7808
NEW LIFE RECOVERY PROGRAM APPLICATION FOR ADMISSION
This is a huge step forward in your recovery. It takes a tremendous amount of courage to even apply to a program. We hope to be an encouragement to you as you move forward. We are not here to judge you; we are here to help. Please know that your information will be treated with the utmost respect for privacy. Any information obtained is for the sole purpose of determining if this program is a good fit for your needs and will not be released to any outside agency for any reason without your specific written consent to such a disclosure.
There are a few things we would like to tell you about our program up front:
We are faith-based. You do not need to be a Christian to enter and we do not require that you become a Christian at any point in the program. However, our program is Bible-based and we do lead our classes from a Christian perspective. All we ask of you is for an open-minded and willing attitude towards Christian teachings.
Unfortunately, our program is not able to accommodate those individuals who require psychiatric medications such as antidepressants, anti-anxiety, mood stabilizers, etc.
We are a non-smoking program. Nicotine is a highly addictive drug and we recognize its negative impact on your overall health and well-being. You may use nicotine replacement therapies during the first 30 days of the program, but must be nicotine-free before phasing into the program.
We are a time-out from romantic relationships (with the exception of a legal marriage, which is a separate issue).
Because our program is designed for those who have no other resources, those accepted into the program are not allowed to accept any outside income (such as SSI, SSDI, Unemployment, GA, etc.) while in the program.
The program can accommodate up to 14 women. Space is limited and so we do have guidelines on the number of items you can bring into the program. More information on this will be provided upon your acceptance.
More than anything- we want you to succeed in your recovery! If you have questions about any of the above, we encourage you to call Deborah Metzler at 707-576-1471 or by email at email@example.com.
Please fill out the following application honestly and thoroughly. Also, include a cover letter telling us about yourself and how your drinking/using has affected your life. Most importantly- please include a contact phone number and a contact address so that we may follow-up with you in a timely manner.