TN-ARR Application

If you need more space for answers to application questions or prefer to write it out on a paper application please Click Here to download the PDF Version. Application forms may be submitted via email to paperwork@tnarr.org, or sent by postal or express mail should be addressed to:

Tennessee Alliance of Recovery Residences P.O. Box 120114 Nashville, TN 37224

*A one-time $250.00 administrative fee is due at the time of submission* This may be remitted via check to the above address or by Venmo to @bonnie-stringer-1

Section 1: Residence Information

(Check the one that applies) Required

New Affiliate Application

Application Renewal

Total Number of Male Beds

Total Number of Female Beds

Total Number of Non-gender Specific Beds

Total Number of Other Beds

Name of Organization

Recovery Residence Level (as defined by NARR)

Organization Address

City

Zip code

State

Website address:

The Residences are (Check the ones that applie) Required

Owned by the Affiliate

Leased From a Third Party

Year Founded

Number of Homes:

Number of Bedrooms:

Number of Full Bathrooms:

Currently in Operation? (Check the one that applies Required

Yes

No

Is organization currently approved by any state or national associations? Required

Yes

No

If yes, please explain

Do you currently provide recovery housing for any community partners? Required

Yes

No

If yes, please explain

Section 2: Affiliate Information

Owner/Operator's First & Last Name

How is organization licensed?

What state is affiliate organized in?

Owner/Operator's Address

City

Zip code

State

Owner/Operator's Phone Number

Owner/Operator's Email Address

Does the applicant own or operate a licensed drug and alcohol facility? Required

Yes

No

If yes, what is the name the licensed program or facility:

Are you willing to fully participate in TN-ARR activities? Required

Yes

No

Have you read and understood the requirements? Required

Yes

No

Have you reviewed the NARR recovery residence 3.0 standards-compendium? Required

Yes

No

Have you reviewed and signed the Code of Ethics? Required

Yes

No

If not, Click Here

Section 3: Contact Information

Primary Contact:

Primary Contact's First & Last Name

Position or Title

Primary Contact's Phone Number

Primary Contact's Email Address

Secondary Contact:

Secondary Contact's First & Last Name

Position or Title

Secondary Contact's Phone Number

Secondary Contact's Email Address

Section 4: List of Residences Seeking Certification

Female

Male

Coed

Female

Male

Coed

Female

Male

Coed

Female

Male

Coed

Female

Male

Coed

Female

Male

Coed

Female

Male

Coed

Female

Male

Coed

Female

Male

Coed

If there are more than 9 residences in your organization, please send a full list to info@tnarr.org upon submission of application.

Section 5: Applicant Signature

I certify that this application is supported by the applicant organization named above, and that it has delegated to me the authority to submit this application on its behalf

*By signing below, you also agree that you have read and understand the TN-ARR Code of Ethics and agree to abide by the standards expressed within.

Click here for: CODE of ETHICS

Type Name

Select a date

Your Signature

Thanks for submitting!