Assistance Application

One simple eligibility standard: the work has begun.

1 Week At A Time provides one-time rent assistance for eligible men in sober living. Fourth Step completion must be verified through the applicant's sponsor, and every request remains subject to Board approval.

1. Who is submitting this request?

IndividualI am requesting assistance for myself. SponsorI am submitting for my sponsee. Facility ManagerI am submitting for a resident.

2. Applicant information

Applicant full name * Applicant phone * Applicant email (optional)

3. Sober-living information

Facility / sober-living name * Facility contact name * Facility phone * Weekly rent amount * Assistance requested *

4. Sponsor verification

Sponsor contact information is used to verify Fourth Step completion and the active sponsorship relationship.

Sponsor full name * Sponsor phone * Sponsor email (optional)

5. Confirmation & authorization I confirm that the applicant has completed the Fourth Step of a Twelve-Step program. I authorize 1 Week At A Time to contact the sponsor listed above to verify Fourth Step completion and sponsorship. I understand that any approved assistance will be paid directly to the sober-living facility, landlord, or housing provider and not to the applicant. Anything else you'd like us to know? (optional and not an eligibility requirement)

Nothing entered on this preview form is transmitted or saved. This protects applicant and sponsor information until a secure submission destination is connected.