Admission Criteria

The potential participant must:

• Voluntarily apply to participate in the program
• Be 18 years of age or older, unless with a participating parent and/or guardian and requiring housing assistance.
• Be committed to their recovery and sobriety while participating in a sober living community.
• Be medically stable. Any individual with ongoing medical issues may be accepted if they are addressing these issues with professional help.
• Have adequate control over their behavior and assessed not to be imminently dangerous to oneself or others
• Express a desire to remain in recovery from addiction to drugs or alcohol ( as applicable)
• Be assessed as medically appropriate and free of any illness that requires isolation from others.
• Have the capacity for active participation in all phases of the program.
• Be ambulatory and meet personal needs without assistance; including administration of own medications.
• Have adequate resources to pay for the program.
• Agree to program rules and policies including completing a background check.
• Complete a drug screen analysis

Exclusion Criteria

The potential participant cannot:

• Have severe permanent deficits in recent memory, attention, concentration, who cannot attend effectively to activities of daily living and whose cognitive impairment prevents them from understanding and participating in the program.
• Have ongoing medical ailments which require a more intensive level of monitoring and care then can be provided by Mary’s place.
• Have criminal history that includes violent behavior and/or acts.
• Have been convicted of a sex-related crime and/or be required to register with the Wisconsin Sex Offender Registry. Mary’s Place locations are not able to provide housing to sex offenders due to proximity to schools and our ability to host families.

Other Considerations:

• Known history involving other current program participants may be considered for admittance
• Circumstances surrounding past dismissal from the program is taken into consideration, but does not automatically disqualify a candidate from re-applying to the program.
• Individuals with a history of residency in Wood County, Wisconsin will have priority over applicants from other counties.

Mary’s Place has a monthly program fee of $320 or $80/week for individuals and $500 or $125/week for families.
Participants are responsible to pay the first week or first month payment before moving in.

Participants without a source of income must first start in the Genesis program until they have a source of income; this does not apply to families. The Genesis program can be utilized for up to 6 weeks and provides bunk beds.

Mary’s Place will work with third party payors such as Northcentral Community Action Program (NCCAP), FoodShare Employment and Training (FSET), Probation and Parole, Workforce Development and more. Other family members or friends can also make payments on your behalf.

By completing this application, I agree to the following:

• I am medically stable. Any individual with ongoing medical issues may be accepted if they are addressing these issues with professional help.
• I have adequate control over my behavior and assessed not to be imminently dangerous to oneself or others.
• I have a desire to remain in recovery from addiction to drugs or alcohol (as applicable)
• I am able and willing to participate in the Mary’s Place program.
• I am able to meet personal needs without assistance; including administration of own medications.
• I agree to program rules and policies including completing a background check.
• I agree Mary’s Place program can contact and very information with those listed on this application including; probation and parole, Wood County Adult Drug Treatment Court, recovery coaches, and employers.
• I agree to complete a drug test analysis upon entry into the program. *A positive result does not necessarily mean I am not be able to participate.
• I can attend effectively to activities of daily living and have no cognitive impairments that will prevent me from understanding and participating in the program.
• I do not have ongoing medical ailments which require a more intensive level of monitoring and care then can be provided by Mary’s place.
• I do not have criminal history that includes violent behavior and/or acts.
• I have not been convicted of a sex-related crime and/or I am not required to register with the Wisconsin Sex Offender Registry.

I agree to the rules and polices of the Mary’s Place of Central Wisconsin program and agree to a background check including CCAP. Non-authorization will deny my entry into the program.

I understand this is a program-based organization with rules and program fees. I agreed to abide by them.

I have provided this information to the best of my ability and understand that I may be asked to provide verification of the information described within this application. I authorize the verification of the information provided on this form.

I certify that my answers are true and complete to the best of my knowledge.

If this application results in acceptance into the program, I understand that false or misleading information in my application or interview may result in my discharge at any time.

I understand that completing an application does not guarantee my acceptance into the Mary’s Place program