516 E RT-89A #113 AZ, Cottonwood, AZ 86326
928.649.0077
info@stepstorecoveryhomes.org
DONATE NOW
Steps to Recovery Homes
About Steps to Recovery
Events
About Us
Why We’re Different
Board of Directors
Staff Members
Annual Report 2018-2019
Mens Recovery House – Hope House
Womens Recovery House – Gratitude House
Testimonials
Volunteering
Meet Our Sponsors
Sponsorships
Why Become a Sponsor
Resources
In the News
Recent News
Media Videos
Media – Newsletters
Media Awards
Media News Stories
Volunteering
Contact Us
About Steps to Recovery
About Us
Annual Report 2018-2019
AZ Tax Credit Donation
AZ Tax Credit Donation Thank You
AZ Tax Credit Donation Transaction Failure
Blog
Board of Directors
Cart
Causes Parallax Slider
Causes Style 1
Causes Style 2
Checkout
Checkout
Contact Steps to Recovery Homes
Contact Us
Dinner for Hope
Payment
Donation Page
Employment
Erase the Stigma
Event List
Events
Facebook Demo
Hiring
Home Charity Org
Home Traditional Style
Home with Layer Slider
Home With Video
Logout
Media – Newsletters
Media Awards
Media Interviews
Media News Stories
Media Videos
Meet Our Sponsors
Mens Recovery House – Hope House
Miracles Happen Resale Store
My account
My Account
My Instagram Feed Demo
New Organization Homepage 2015
Newsletter
Online Application
Online Application
Order Details
Order Success
Payment Confirmation
Portfolio Wide
Post Video Carousel
Process Payment
Projects
Recent News
Resources
Roots roll and Ride DEV adding forms
Shop
Sponsorship Annual
Staff Members
Steps to Recovery Homes
Steps to Recovery In The Media
test donate plugin
Testimonials
TESTING
Transition House – Integrity House
Volunteering
Why Become a Sponsor
Why We’re Different
Womens Recovery House – Gratitude House
xx Column Dailymotion Video Gallery with Lightbox (L.S)
xx Column Dailymotion Video Gallery with Simple Play
xx Column Dailymotion Video Gallery with Simple Play (R.S)
xx Column Dailymotion Video Gallery without Lightbox
xx Column Portfolio
xx Column Vimeo Video Gallery with Lightbox
xx Column Vimeo Video Gallery with Lightbox (L.S)
xx Column Vimeo Video Gallery with Simple Play
xx Column Vimeo Video Gallery with Simple Play (R.S)
xx Column YouTube Video Gallery with Lightbox
xx Column YouTube Video Gallery with Lightbox (L.S)
xx Column YouTube Video Gallery with Simple Play
xx Column YouTube Video Gallery with Simple Play (R.S)
DONATE NOW
Application Short
Name
*
First
Last
Phone
*
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Are you at least 18 years old?
*
Yes
No
Date of Birth
You must be at least 18 to be a client at Steps to Recovery Homes.
Have you been convicted of a violent crime?
*
Yes
No
What was the conviction and when?
Are you on on probation?
*
Yes
No
Do you have a birth certificate?
*
Yes
No
Do you have a Social Security card?
*
Yes
No
Do you have an ID or driver's license?
*
Yes
No
Are you on medication?
*
Yes
No
What are the prescriptions?
We are not accepting applicants on probation at this time
Have you been convicted of a sex crime?
*
Yes
No
We are sorry but we do not allow persons with sex convictions as clients at Steps to Recovery Homes.
Comments
This field is for validation purposes and should be left unchanged.