Now is the perfect time to make a change!
Now is the perfect time to make a change!
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  • Sober Living Info
  • Rules, Application & more
  • Homemade Hope Store
  • Fundraising
    • Home
    • Sober Living Info
    • Rules, Application & more
    • Homemade Hope Store
    • Fundraising
  • Home
  • Sober Living Info
  • Rules, Application & more
  • Homemade Hope Store
  • Fundraising

Independence Again Forms

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Online Application

Paper Printable Application

Paper Printable Application

Online Form is above; you can call the 888-417-0233 to see where you are in the application process or email App@IndependenceAgain.org

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Paper Printable Application

Paper Printable Application

Paper Printable Application

To Download a printable application click image above. You can scan it in and email to App@IndependenceAgain.org, fax to 931-401-4670 or mail it to P.O. BOX 2543, Cookeville, TN  38502-2543..

Piggy Bank

Rent Assistant Request Form

Rent Assistant Request Form

Rent Assistant Request Form

Assistant is limited and approval is not guaranteed. If you feel at any time you will be unable to pay your rent on-time please complete this form in advance to avoid discharge or late fees. 

Rx Pad

Rx Form Women's Houses

Rent Assistant Request Form

Rent Assistant Request Form

Click the Picture to complete the Medication form any time your Rx changes, or if you take an Over-the-counter medication for longer than 3 days.

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Rx Form Men's House

Release of Information Women's Houses

Release of Information Women's Houses

Click the Picture to complete the Medication form any time your Rx changes, or if you take an Over-the-counter medication for longer than 3 days.

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Release of Information Women's Houses

Release of Information Women's Houses

Release of Information Women's Houses

Click the picture to complete the Independence Again Release of Information Form. *Staff may require written signature.

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Release of Information Men's House

Release of Information Women's Houses

Release of Information Men's House

Click the picture to complete the Independence Again Release of Information Form. *Staff may require written signature.

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Transportation Request Form

True Colors Personality Quiz

Transportation Request Form

Need Transportation to work, meeting, job interview, etc? Click the image above to make a request.

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Lease Agreement

True Colors Personality Quiz

Transportation Request Form

Click the picture above to complete the Independence Again Lease Agreement Form.

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True Colors Personality Quiz

True Colors Personality Quiz

True Colors Personality Quiz

Click the picture above to fill out the True Colors Personality Quiz Form. 

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Visitation Request Women's Houses

Visitation Request Women's Houses

Visitation Request Women's Houses

Need to schedule a visit for your family or friends? Click the above image to request a visit.

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Visitation Request Men's House

Visitation Request Women's Houses

Visitation Request Women's Houses

Need to schedule a visit for your family or friends? Click the above image to request a visit.

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Work Order Request

Visitation Request Women's Houses

Work Order Request

Something broken or needing to be done? Click the Image above to submit a Work Order for it.

Waiting List - currently

We at Independence Again know that there is a shortage of Safe Havens for those seeking Sober Living, we are working on this regularly and hope to have additional options in the near future. We will also work with you to find sober living in other locations where possible.


We work on our waiting list often and if you need to reach out to anyone please email Inagaintn@gmail.com or the staff member you are working with to check the status of your application on the waiting list.


If you no longer need Therapeutic Sober Living Please let staff know and we will remove you from the list and  free up that spot for another eligible resident. 

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