The Shelby House of Hope

Apply for Residency

Taking the first step toward recovery housing takes courage. We’re glad you’re here.

Please complete the application below. Your information is kept private and goes directly to The Shelby House of Hope. We will reach out to you as soon as possible to talk about next steps. If you’d prefer to apply by phone, call us at 715-491-1853.

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Thank you for your response. ✨

Full Name

Phone Number

Email Address

Date of Birth (YYYY-MM-DD)

Sobriety Date (if known)

Are you currently in medication-assisted treatment (MAT)?

Yes

Not sure

Who referred you? (treatment center, case manager, court, friend, etc.)

Emergency Contact (name and phone)

Tell us a little about yourself and why you are seeking recovery housing.

Would you like to apply for donor-funded financial assistance?

Yes, I'd like to apply for assistance

No, not at this time

If applying for assistance: briefly describe your current financial situation and any funding you’re already pursuing (county behavioral health, probation/parole, vouchers, employment, etc.).

Not sure how you’ll cover the cost? You’re not alone — see our FAQ for funding options, or just check the box above and we’ll help you explore donor-funded assistance and other resources. The Shelby House of Hope welcomes residents in medication-assisted treatment and does not discriminate. Submitting this application does not guarantee placement; we will contact you to discuss availability and next steps.