DLT Pre-Screening

Please complete and submit for considerations.

* Legal First and Last Name

0/50

* Address

0/250

* Phone Number: ex. (area code) *** - ****

0/50

* Email Address

0/50

* Date of Birth: ex. 02/25/1991

0/50

* Are you currently unemployed?

Yes

* Were you terminated from your last position?

Yes

* Do you have a GED or High School Diploma?

Yes

* Attended and graduated a Certified Peer Recovery Specialist training with Anchor or PSN?

Yes

* Are you in recovery from mental health or substance use challenges?

Yes

* Are you a Family member of individual in recovery from mental health and/or substance use challenges?

Yes

* Did you leave your job due to mental health or substance use?

Yes

* Did you leave job due to re-locating/ or displaced due to domestic violence ?

Yes

Thank you for filling out this short pre-application. We will be in touch with you to complete initial screening. If found eligible we will schedule an initial zoom interview.

Submit Survey