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NSLA Membership Application & Code of Ethics

NSLA Code of Ethics - PDF

NEW MEMBERSHIP APPLICATION

Membership Type: *

New Member
Existing Member Renewal

Name of Sober Living Home: *

Address:

City: *

State

Zip: *

Owner Name: *

Contact Person: *

Phone: *

Email: *

Website:

Date Sober Living Established:

example: 01/07/18

Residence Ownership Type:

Owned
Leased from 3rd party
Leased from person or entity related to member

Residence Type:

Single family detached house
Apartment building
One or more apartment units
Condominium
Duplex or triplex
OTHER ( please enter below)

Multiple Type - other item

Number of bedrooms:

Number of bathrooms:

Total number of residents:

Stories:

One Story
Two Story
Other

Basement egress windows:

Yes
No
Not Applicable

Features

Pool
Fireplace

Serving:

Women
Men
Women with children
Men with children
Co-ed
OTHER (please enter below)

Serving - other item

Monthly Resident Fees:

Is there more than one set fee?

Yes
No

Type of Organization:

Corporation
Partnership
LLC
Sole Proprietorship
Nonprofit Corp
Nonprofit
Uni-corporated Entity
OTHER (please enter below)

Type of Organization: Other entry

SECTION II - Management Structure of Each House:

Manager(s)
Assistant Managers(s)
OTHER (please enter below)

Management Structure of Each House Other - item

NSLA Training Owner:

Yes
No

Manager(s):

Yes
No

Assistant(s)

Yes
No

Copies of NSLA training certificates in office:

Yes
No

Have all member of ownership and management read and agree to abide by the Code of Ethics?

Yes
No

Copies of NSLA signed ethics forms in office:

Yes
No

Requesting Mentor

Yes
No

Available to Mentor

Yes
No

Home(s) are 100% abstinence based

Yes
No

Zero tolerance for drug and/or alcohol use

Yes
No

Residents participate in 12 Step meetings

Yes
No

SECTION III - Total number of residences owned/operated by this organization:

Total amount for NSLA membership ($150 per home up to 5, additional homes waived in)

Does applicant own or operate a recovery program, licensed alcohol and drug, or mental health program or facility?

Yes
No

Name of program(s) or facility(ies):

e-Signature:

By entering my name, I hereby attest that the above information is true and complete, and that I am authorized to execute this application on behalf of the applicant. Applicant hereby requests membership in the National Sober Living Association.

Signature Date:

example: 10/04/17

Comment

Attn: NSLA Membership Phone: (701) 516-2912
PO Box 1301
Bismarck, ND 58502

nationalsoberliving @ gmail.com

Membership Benefits

Membership Requirements

Membership Application

NSLA Code of Ethics -PDF

NSLA Network Inspection Checklist

Recent Blog Posts

Discount on One Step Products
(no title)
Reduced Price Drug Test
One Hour Free Consultation with Attorney and Reduced Hourly Rates
Reduced Price UA Drug Tests

Blog Archive

October 2019
September 2019
August 2019
November 2017

Contact Us

National Sober Living Association
PO Box 1301, Bismarck, ND 58502

(701) 516-2912
[email protected]

Contact Us

National Sober Living Association
PO Box 1301, Bismarck, ND 58502

(701) 516-2912
[email protected]

About NSLA

The National Sober Living Association is a nonprofit tax-exempt organization that gratefully accepts donations from those who understand the need for long-term recovery supportive housing and other community-based means of addressing the illness of addiction and alcoholism.

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