Take the first step

Apply to New Opportunities

Fill out the form below and Matthew Allison will be in touch with you directly. You can also download the PDF version if you prefer.

Online Application

All fields marked with * are required. Your information goes directly to Program Director Matthew Allison.

Personal Information

First Name *

Last Name *

Phone Number *

Email Address

Date of Birth

City

State

Recovery Background

Are you coming from incarceration, a treatment program, or another situation?

Sobriety / Clean Date (approximate is fine)

Brief treatment or recovery history

Employment

Are you currently employed?

Employment details (employer, type of work, or job search status)

Emergency Contact

Contact Name

Contact Phone

Relationship

Anything Else

Is there anything else you'd like Matthew to know before he calls you?

Your application is sent directly to Program Director Matthew Allison at New Opportunities.