Recovery House Hub

SpiritLife Inc.

SpiritLife Men’s Recovery House

Embrace the journey of healing with SpiritLife. Every step forward is a victory, and together, we’ll rebuild a brighter future.


Fill out our new application below. Once you fill it out, our Recovery House manager will be in touch with you!


The Indiana area provides robust recovery support. Residents on MAT are welcome. Contact us for more information.

Application

Legal Name: *

Primary Email Address:


Emergency Contact Name: *

Significant Other's Name (If applicable):

Personal Reference #1 *

Personal Reference #2 *

Please type your full name to show agreement with the above statement: *

By entering your First Name, Middle Initial, and Last Name in the fields provided, you certify that this entry constitutes your digital signature on this application for SpiritLife’s ¾ Recovery House. You acknowledge that this digital signature is legally binding and affirms that the information provided in this application is accurate to the best of your knowledge.

By entering your initials in the field provided, you certify that this entry serves as your digital initials on this application for SpiritLife’s ¾ Recovery House. You understand that these digital initials confirm your agreement to the information disclosed and affirm its accuracy.