Phase Sheet 1 – Positive Recovery Resources

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Phase 1 Sheet

Please complete this form in order to move up to Phase 2. Please fill out all the information and housing staff will review information submitted.

Name*
First Last
Date*
Have you been in compliance with the 9:00pm curfew (Monday - Sunday) for a minimum of 2 weeks?*
- Yes
- No
Have you complied with all random UA/BA testing throughout the phase?*
- Yes
- No
Have you attended meetings at least 5 days a week?*
- Yes
- No
Do you currently have a sponsor?*
- Yes
- No
Did you complete the Goals Worksheet & Relapse Prevention Worksheet?*
- Yes
- No
Are you actively searching for employment and utilizing the Employment Worksheet?*
- Yes
- No
Have you turned in your resume to staff for review?*
- Yes
- No
Are you currently enrolled in public assistance programs such as:*
- Food Stamps (EBT)
- Health Insurance
- Bus Passes
- Other
Other public assistance program
Have you attended all Mandatory Sunday House Meetings?*
- Yes
- No
Have you been completing your assigned chores?*
- Yes
- No
Before advancing to the next phase all required items above must be completed and approved by the CRRA and/or Director.

If you have an additional questions please speak with your house manager or the CRRA.
Signature*

POSITIVE RECOVERY RESOURCES, LLC

P.O Box 3223 West Palm Beach, FL 33402
561-299-1079
positiverr@gmail.com

PAY RENT ONLINE

POSITIVE RECOVERY RESOURCES, LLC

P.O Box 3223
West Palm Beach, FL 33402
561-299-1079
positiverr@gmail.com

PAY RENT ONLINE

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