Apply

Guest Application

First Name

Last Name

Date of birth

Preferred language

Primary contact number

Applicant's Phone

Name, email, profession, and agency (if applicable) of the referring person

Gender

Male

Female

Non-Binary

Gender identity

Who is filling out this application?

Applicant

Other (e.g. caseworker/aftercare)

Applicant email

Referrer email

Have you ever lived in or applied to a OCPNC home?

Yes

Yes No Desired move-in timeline

What is your current address?

Desired Location

Desired state

If you are applying for a specific OCPNC home, please provide that information here.

Justice Involvement

Treatment History

Have you attended residential treatment?

Yes

If you are currently awaiting a release date from jail or a graduation date from a program, please tell us what that date is.

Financial Information

Please describe any and all sources of income which you will use to pay rent

Work

Scholarship or Grant

Family or Friends

SSDI, Social Security, and Other Assistance

Other

Additional Information

Please tell us anything that would be helpful for us to know when contacting you.

Please tell us what phone number or email address (personal or caseworker) is the best way to get in touch.

Terms and Conditions

I agree to Our Community Place NC's Privacy Policy.

Agreed by

At OCPNC, our homes are NARR Level II Recovery Residences — supportive peer environments, not clinical treatment programs. We don’t provide case management or require medical records or assessments. To apply, we simply gather info through a phone interview and by connecting directly with the Home Operator.

Reasonable Accommodation Requests: We are committed to reviewing and honoring all reasonable accommodation requests to help residents live comfortably and engage fully in our community. If you have a disability and require an accommodation, please notify your assigned Intake Coordinator. Our aim is to support your recovery while addressing your unique needs.

Approval Conditions

Required to be in a state of recovery

Applicants must be 18 years of age or older

At least 30 days of sobriety required

Capable of fulfilling payment responsibilities

Must demonstrate medical, physical, and mental stability

No convictions for arson or sexual offenses.

How to submit your application

Apply by Phone

866-338-3742

Online Application

Apply Now

Download, Print, and Fax

Download Application

Apply as a Guest

How did you hear about OCPNC?

Desired Location

Recovery Background

Justice Involvement

Treatment History

Financial Information

Additional Information

Terms and Conditions

Our Facebook Updates

Become a part of our online community

Follow us on:

Email Address

Phone Number

Fax

Ready to apply?