Individual Program Registration

Individual Program Participation and Information

1. What is the Individual Program?

It is called the Individual Program because:
You will work one on one with a mentor.
You and your mentor will assess the tools that are a challenge for you and then problem-solve solutions that support your learning to do all your tools and support materials daily.
You will work with your mentor until you are no longer struggling with your daily program of recovery.

2. Who can participate:

The Individual program is only for those who have completed our How to Live in Recovery Program two (2) times.
Who need additional support because they are struggling to do all their tools and support materials daily.
Who have an FA sponsor who supports their participation in this program.
Who are available for 2-15 minute phone calls per week.

3. Results

Everyone who finishes the Individual Program is living in recovery, doing all their tools and support materials daily and happily no longer struggle to get abstinent.

Answer the questions below to register for the Individual Program

* Indicates required field

1. I have graduated from 2 How to Live in Recovery 10-week groups. *

Yes No. If you marked no, you are not eligible. Please register for a HLR 10-week group under the Registration tab.

2. Beginning dates (or approximate beginning dates) of your 2 HLR group *

First

Last

3. I will make time for 2 morning 15 minute phone calls per week (times to be determined) *

Yes

4. Name *

First

Last

5. Email *

6. Phone # (xxx) xxx-xxxx *

7. State (please abbreviate) *

8. Time Zone *

9. You will be contacted by a mentor to set up your twice weekly call. Do you have any questions or comments for her? *

Submit