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Join Our Waitlist

Take the first step toward recovery, stability, and lasting independence.

If you’re seeking structured recovery or reentry housing, we’d love to hear from you. Completing this form helps us learn about your needs and lets us contact you when space becomes available.

Submitting this form does not guarantee placement. It is the first step in our intake process.

 

 

Questions Before Joining the Waitlist?

Not sure if Pathway to Independence is the right fit?

We’d be happy to answer your questions before you apply.

📧 info@pathwayindy.com

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Submitting a form does not

guarantee admission.

Waitlist Request Form

Personal Information

Personal Information

Preferred Method of Contact

About You

Which best describes your current situation?

Current Living Situation

Multi choice

Desired Move-In Timeframe

Multi choice

Referral Information

Were you referred by an agency?
Yes
No

Tell Us About Your Goals


How did you hear about us?

Multi choice

Consent

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