Iron House Member Application

Iron House Member Application

Transitional recovery housing application for Iron House applicants. Contact Iron House Inc. for general assistance.
The mission of Iron House is to provide a safe and positive living environment from a Christian perspective for people in recovery from addiction, alcoholism, and other mental health challenges. The vision of Iron House is to see people grow and mature together in a God-centered environment as they are equipped with the necessary tools to live a healthy and abundant lifestyle. We look forward to learning more about your growth and progress in recovery.

Admission process and procedure:

1. Fill out this form and submit it.

2. Wait for a phone call or email to set up an interview.

3. Attend your interview, where you will complete an initial recovery plan and be asked questions by the supervisory committee and/or current house members.

4. If accepted, you will be considered for an appropriate available Iron House recovery home.

5. Arrive for your move-in at the scheduled date and time. You will pay your move-in fee, complete a UA, and receive next steps for your placement.
Please fill out all fields and submit this application. Once submitted, you will be contacted by our housing services coordinator to schedule an interview. This may be by phone and/or in person. All information entered is encrypted and will not be shared.
Name

First NameLast Name
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Marital Status
State ID Type
Gender
Ethnicity
Veteran?
Current Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about our program
Current Living Situation
Name and phone number of closest contact
Current Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Are you in the process of family reunification?
Explain
Do you have children?
Are you paying or do you owe Child Support?
Amount
Past Substance Use: Method

Other
What is your sobriety date?
Exact date preferred; approximate date accepted.
Which type of housing are you applying for?
Age First Used
Alcohol & Drug Use History(list all problem substances used and your most recent substance of choice)
Substance Use Type History
List names and dates of all treatment programs, Shelters, Domestic Violence shelters and Halfway Houses attended (MM/DD/YYYY)
Are you under a physician's care?
If yes, why?
Name of Doctor
Agency
Phone
Please enter a valid phone number.Format: (000) 000-0000.
List ALL Medications Prescribed
List ALL past and current Physical issues
List ALL past and current psychiatric issues including self harm or eating disorders
Are you under the care of a behavioral health facility?
If yes, explain
Have you ever attempted suicide?
If yes, explain date & how attempted
Do you have current charges?
If yes, what?
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Are you a parole violator?
Reason for Violation
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Are you on supervision?
Agency
PO Name
Office Phone
Please enter a valid phone number.Format: (000) 000-0000.
Location
Do you have court fines?
How much?
Do you have community service?
How many hours?
Have you ever been arrested for any sex crimes?
If yes, explain
List all arrests, convictions, sentences, prior prison or jail commitments and probation history (list places and dates; use back of this paper if needed)
Please tell where you grew up and who you grew up with
Please tell us why you want to stay in Iron House Recovery Homes
What abilities do you possess that will help you be successful in life recovery
Basic House Rules:

Iron House is a God-centered recovery home, not an institution. We do not require mandatory clinical treatment or traditional sober living requirements.

Instead, every applicant and prospective house member must complete an initial recovery plan that is reviewed before acceptance. Once accepted, members are held accountable to the commitments they set in their own plan, along with basic house rules, respectful living, sobriety, and shared responsibilities. Monthly shared expenses are paid by everyone unless covered by approved funding or vouchers; work may be available to help, and members are supported in pursuing income when able, but no one is forced to work or to stay. Continued stay is based on accountability and requires approval by a supermajority vote of current members and/or the supervisory committee.

Every person or family accepted will be placed on trial member status with more stringent rules until trust is built.

Basic house rules include curfew (10 PM unless working), complete abstinence from all non-prescribed drugs and alcohol, random UAs, weekly meeting attendance and participation, a house service position, weekly and nightly chores, secure storage of all prescribed medications in a lock box, and no romantic or sexual relationships are allowed in the house or on the property.

Guests and visitors are subject to the rules and approval procedures of the specific home.

No history of violent sex crimes or arson is currently allowed.

No one can be removed from Iron House without cause. Reasons for immediate removal include relapse or recurrence of use, violent or threatening behavior, not following the commitments and goals you set for your recovery in your own plan, or manipulative behavior. Any violation of these rules may result in immediate removal from the house at the discretion of the supervisory committee or house members. There is no one person in charge in the Iron House program. All members accepted into the house and/or removed for cause will be authorized at the discretion of the supervisory committee and/or house member recorded voting process. You may appeal removal via a separate form to be given to you upon acceptance.

This is a basic overview of the house regulations, requirements, and procedures. Each member accepted will receive our operations manual, housing agreement, trial member contract, and other documents requiring a signature and/or initials.
We want to get to know you. Please upload a short introduction video and tell us a little bit more about you. (i.e. your name, where you're from, your recovery story, tell us about your kids, etc.) We understand that not everyone will have the ability to do this and if you're unable, we completely understand. The video is optional.

Video Introduction
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Once you submit this form, you will be contacted to schedule an interview. God has a plan for your life and we can't wait to see it!

If you have any questions or want to follow up, please contact Iron House Inc.
Iron House Inc 2026
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