Application

If you would like to apply to become a resident at New Purpose Living, you may fill out the form below and we will contact you or you can download the resident application and email it to Trent.spann@newpurposeliving.org, then go to our booking page to schedule an interview.

Download Application

New Purpopse Living Resident Application

Please fill out this form to apply to be a resident.

First name

Last name

Email address

Phone number

Address

Birthday

Month

Day

Year

Desired move-in date

Why do you want to be a resident at New Purpose Living?

What does Recovery mean to you?

Where do you see yourself in the next year and where do you see yourself in the next 5 years?

Religion, if any?

Do you have any past criminal convictions?

We ask that you are completely honest when answering this question. We do run a background check on every applicant.

If you checked any above, please explain.

Do you have any current or pending legal matters? If so please explain.

Are you currently on probation or parole?

yes

If yes, please explain.

Have you completed or ever been to any treatment facilities? If so please explain.

Name and location of facility, dates, reason you were there, ect.

Do you have a history of mental illness? If so please explain.

Short answerDo you currently take any medications? If so please list.

When is a good day and time for us to contact you?

Month

Day

Year

Time

HoursMinutes

Best way to contact you.

Phone

E-Mail

Thank you for your interest in becoming a resident at New Purpose Living. We will be in touch with you once we receive and review your application.

Locations

Adress

Sheridan Wyoming

trent.spann@newpurposeliving.org

sierra.copeland@newpurposeliving.org

Let’s Talk

Phone

307-429-0673