Scholarship Award

Bed Fee Scholarships:

- Awarded for the first 3 months of Bed Fees

- $550 per month

- Limited to once per 12 month period

Scholarship Application

Name

First Name

Last Name

Birthday

YYYY

Phone

(###)

###

####

Gender

Term of Sobriety

Ethnicity

Do you have children

Yes

Do you want to live in a home with children?

Yes

Medication-Assisted Treatment (MAT)

Medical Cannabis use?

Yes

Cover Letter

Please tell us about: 1) What barriers exist to your ability to cover your bed fees 2) What steps you are taking to increase your recovery 3) How you are working on building financial independence 4) PLEASE INDICATE WHICH SOBER HOUSING PROVIDER YOU ARE LIVING WITH

Two hands reaching out and touching each other, one hand with a black sleeve and bracelets and the other with a red sleeve and a wristband, against a light background.