Generation Hope Recovery Retreat Application — 2026
Answer a few questions about your recovery, availability, and why you want to attend.
Full Name
*
First Name
Last Name
Age
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
City/Neighborhood You Live In
*
Do you identify as East African or Muslim?
*
Yes
No
Tell us a little bit about where you're at in life right now.
Where are you at in your recovery journey? (Choose the one that fits best)
*
I've been sober for 1–6 months
I've been sober for 7–12 months
I've been sober for 13–24 months
I've been sober for over 2 years
I'm currently struggling with addiction
What is your sober date?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Why do you want to attend this retreat?
*
What do you hope to gain or take with you after the retreat?
Are you available from Friday afternoon (September 18) to Sunday noon (September 20)?
*
Yes
No
If selected, do you commit to fully participating in all retreat activities?
*
Yes
No
Any food allergies, medical needs, or accessibility concerns?
Submit Application
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