Christian Transitional Living Home & Addiction Recovery Program for Alcoholics & Drug Addicts

RESIDENCY APPLICATION &
SECURE ONLINE SUBMISSION

Download Forms & Securely Submit

Other Residential Forms

Instructions to Submit Forms

  1. Download and complete the form(s).
  2. Complete the forms directly on your computer in the fillable text areas provided, digitally sign and save.
  3. Submit completed and signed forms through the Secure Website Online Form Submission below. OR
  4. Submit in person.
  5. Questions? See following contact information.

Secure Online Form Submission

  • Please provide best contact number.
  • Drop files here or
    Accepted file types: pdf, png, docx, jpg, gif, Max. file size: 128 MB.
      Upload forms to the Lighthouse Recovery. You may submit multiple attachments.
    • This field is for validation purposes and should be left unchanged.

    NEED HELP OR QUESTIONS?DON'T WAIT, CALL NOW!

    PO Box 304
    Greenwood, SC 29648

    Jim Ray, Program Director
    864.323.2880
    jray@lighthouserecovery.net

     

    Everett Land, Executive Director
    864.377.0731
    info@lighthouserecovery.net

    ONLINE APPLICATION

    Get Help Now!

    Submit an Application securely online.