Qualtrics Survey | Qualtrics Experience Management

Hi there! Thank you for being interested in applying for Recovery Housing. Recovery Housing at the University of Denver is available through a partnership between the Collegiate Recovery Program and Housing & Residential Education. Recovery Housing is a community explicitly intended for those recovering from substance use and behavioral disorders. It would be best served by a community dedicated to a supportive substance-free lifestyle. Priority for this community will be given to those applicants who demonstrate a dedication to their abstinence-based recovery and the recovery of others.

If available spaces are not initially filled with those who meet these priority criteria, students who are dedicated to a lifestyle and seek to be involved with the Collegiate Recovery Community as an ally will be considered.

After all, spaces are filled, interested students may be placed on a wait list and are eligible to be selected to fill areas that may become vacant.

Attention: This form serves only as an application to be eligible to live in the Collegiate Recovery Program Housing. This application should be completed in addition to the HRE general housing application.

The Recovery Housing selection process is on a rolling basis.

If you have any questions, contact the Collegiate Recovery Program at recovery@du.edu or 303-871-3699.

Please indicate which of the following describes you (Select all that apply):

I have achieved at least 3 months of continuous abstinence from all drugs and alcohol and/or other primary addictions or behaviors
I have made a personal commitment to maintaining abstinence in recovery or to living a substance-free lifestyle
I actively participate in a program or practice that supports my long-term recovery or sobriety and well-being
I am interested in being part of a recovery-focused, sobriety friendly community, sharing support and being a service to others.
I am willing to follow CRC community guidelines, practice a personal well-being plan and uphold the values of the CRC community.
I agree to, if I am granted admission to CRC Housing, attend one weekly meeting, one social event monthly, and one service event quarterly, and all scheduled CRC, Housing meetings unless excused in advance.
I agree to complete CRC Peer Support Training

What is your name? First, Middle, Last

Student ID Number

What is your preferred name?

What are your preferred pronouns?

What is your gender identity?

What is your birthdate (DD/MM/YYYY)?

Emergency contact name

Emergency contact relationship

Emergency contact phone number