Apply to The Anchor House

Complete what you can — we'll discuss the rest when we connect.

All information is kept confidential. A staff member will reach out within 2 business days. If you have questions before then, call us at (574) 341-4250 or email admissions@anchorhouseindiana.org.

Fields marked with an asterisk are required. Fill in what applies to you.

Personal Information

Optional
Optional
Optional

Recovery Background

Optional — fill in what you know. We'll go over the rest when we talk.

Are you currently participating in a recovery program?
Have you previously lived in a recovery home?

Reentry & Legal

Optional — this information helps us prepare to support you properly.

Are you currently on probation or parole?
Optional — if on probation or parole
Optional — if on probation or parole
Do you have court-ordered sex offender registration or residency restriction requirements?

This helps us determine if our location meets your supervision requirements.

Employment & Resources

Optional

Do you have a source of income?

Referral Information

Optional

Additional Information

Optional — max 1,000 characters
Your information is kept confidential and is used only to review your application.