ORH Recovery House Manager Training Application Your name(Required) First Last Your email(Required) Your phone(Required)Your address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code OrganizationOrganization name(Required) What is your organization's connection to recovery housing?(Required) Currently operates recovery housing Plans to open recovery housing in the future None of the above When will your recovery home begin operating?(Required) MM slash DD slash YYYY Based on one or more of your answers, you are not eligible for the training.Is your recovery home certified?(Required) Yes No I'm not sure Address of your recovery home(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What populations do your recovery homes serve?(Required)(Choose all that apply) Men's recovery homes Women's recovery homes Coed recovery homes Do your recovery home(s) prioritize or target specific population(s)?(Choose all that apply) Parents with children Veterans Individuals with criminal justice histories / returning citizens LGBTQIA+ MAT Other Application QuestionsDo you have experience with house manager duties?(Required) I currently have house manager duties I previously had house manager duties I never have had house manager duties (Choose the best answer)What percentage of your professional time is dedicated to participating in house manager duties?(Required) 100% 75-99% 50-74% 25-49% Less than 25% What other training have you received on being a house manager?(Required)How do you plan to balance your current job duties with your participation in the house manager training?(Required)Are you comfortable with online learning?I.e. using Zoom or similar programs, managing user accounts on websites and submitting information over the Internet Yes No I'm not sure Attestation (1 of 4)(Required) I understand that the house manager training involves about 2 hours per week of independent coursework that I must complete. I commit to completing the independent coursework on timeAttestation (2 of 4)(Required) I understand that the house manager training will also involve 6 weekly training sessions. I commit to attending and fully participating in these training sessionsAttestation (3 of 4)(Required) I attest that I am currently working or have an active job offer to be a house manager for a recovery home in OhioAttestation (4 of 4)(Required) I attest that I understand that this training series will be offered virtually, and that I need reliable access to the Internet to complete the self-paced courses as well as to participate in the scheduled learning sessionsCohort PreferencePlease select your preferred cohort(Required)Very inconvenientInconvenientNeutralPreferredStrongly PreferredAug 3, 2022 - Sep 7Sept 13, 2022 - Oct 18Oct 27, 2022 - Dec 8Jan 4, 2023 - Feb 8Jan 19, 2023 - Feb 23
