Pre Screen Application – Springs of Life Recovery

Pre-Screen Application

Please fill out our pre-screen application below and you will be contacted within 72 hours.

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Referred by:

Approximate Desired Entry Date

Name

State of Residence

Age

Phone Number

Can You provide a picture ID or FaceSheet? Have you ever had a violent offense? Have you ever had a sex offense? Do you have any outstanding charges? Are you able to pass a drug test upon entry? Are you married? Do you have Children?

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(423) 784-6622

Address: P.O. Box 893, Jellico, TN, 37762

Email: branamcliff@yahoo.com

Pre-Screen Application

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Get In touch

(423) 784-6622

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