Housing Application

Eagle

Nampa

Caldwell

Applications can be mailed or emailed to above. Once you receive “Letter of Acceptance” and would like to reserve a bed, please mail first month’s guest fee of $650 at least 10 business days prior to move-in. You can also make payments in person at our office between 8:00am and 4:00pm (M-F). Money orders should be made payable to TLC. No checks will be accepted.

(All payments are non-refundable).

Today's Date

IDOC or LE #

Name

First

Last

Gender

Address

Phone Number

Personal Email

Work Email

Age

Emergency Contact Name and Phone Number

Preferred City of Housing

Choose One

Have you previously resided at any other sober living homes? Please list any/all of them.

Are you an alcoholic/addict?

Drug(s) of Choice

Date of Last Use

Date Housing Needed

If left blank application will not be processed. Please give a real date of expected arrival and/or release.

How will your first month be paid?

IDOC
Private

Have you been convicted of a misdemeanor or felony?

List all charges - Also: Please explain in detail any violent charges:

Name of Case Manager

Will you be on probation or parole while in housing?

Probation/Parole Officer Name, if known:

Printed Name

I have completed this application to the best of my ability and answered all questions honestly. I have read all materials provided to me and understand that by signing below, I am agreeing to follow all The Saenz House rules and policies. A copy of the House Rules has been provided to me as part of this application. When I am accepted to The Saenz House, and take residency, I agree to hold harmless The Saenz House, corporate officers, property owners, independent service contractors, and all service providers from all claims, actions, and liabilities. I authorize The Saenz House to exchange information as needed with any and all government or private parties and/or their representatives as it relates to the application process and housing status while living at The Saenz House. I understand and agree that all payments to The Saenz House are non-refundable. Reasonable accommodations for people with disabilities will be provided upon request. I have read both statements above, understand its contents, and voluntarily agree to its terms.

Digital Signature

Type Your Name: First Middle Last

Date Signed

Thank you for choosing The Saenz House as your housing provider. If you have any questions, feel free to contact us at 208-860-6981 or write to us. A response letter will be sent within 48 hours of receipt and will provide instructions for “Move in Day.” We look forward to meeting you soon!