Online Application for Residency with Value Housing Nevada, Inc.

To apply for residency in one of our homes, please fill out our online Application for Recovery Housing below. Our form is secure & encrypted and your information will be protected. After you send us your application, we will review it and contact you. If you have any questions, please contact us.

To mail an application to us, you can download & print an Adobe PDF version of this application:

Download Application (PDF)

IMPORTANT – PLEASE READ:
To be accepted in a VHN Home, an applicant must complete the entire application and be interviewed before approval. Carefully read the application and honestly answer the questions. Living in a VHN Home is a privilege. By abiding by the specific home’s policies and procedures, you can achieve comfortable sobriety without relapse and enjoy a comfortable living environment.

1Your Personal Information
2Addiction Information
3Move-In & Emergency Information
4Approval & Finish

Your Personal Information

Date of Birth
VALUE HOUSING NEVADA, INC.