Signed in as:
filler@godaddy.com
Signed in as:
filler@godaddy.com
Hickory Hill (Herein HH) guests are expected to maintain a high level of personal integrity and to ensure an atmosphere of trust; guests are encouraged to practice honesty with each other. All guests must take every precaution to prevent the intentional or unintentional disclosure of confidential information to any unauthorized person or outside entity. HH guests are never allowed to disclose the names of other guests.
Upon completion of the screening process and intake, a copy of all personal information disclosed in the application form and the information release form, including the necessary contact information, is immediately given to the House Lead (herein HL) and remains with the HL. The HL creates a file for the new guest, which is then placed in a secured filing cabinet where it is kept for 90 days following the guest's discharge from the home when the information is shredded.
Confidential information is only shared with a third party if the guest consents by signing a release of information form (ROI). Guests may revoke ROI by signing the revoked portion of the release. Once ROI is revoked and documented, it takes effect immediately. You may verbally withdraw your ROI; however, the HL is allowed up to 24 hours from documentation to communicate this change with all (if any) other HLs.
ROIs for Emergency Contacts may not be revoked. HH and HL must report pertinent information to appropriate agencies regarding a court order, medical emergency, or child or elderly abuse.
Phase I: 7 days
Phase II: 30 days
Phase III: 6 months
Graduation Phase:
Hickory Hill Alumni:
Dated ___________________________________
Guest Signature _____________________________________________________
House Lead Signature _________________________________________________
AFTER 72 HOURS FROM DISCHARGE, WE RESERVE THE RIGHT TO DISCARD ANY PROPERTY NOT COLLECTED WITHIN IN THIS TIME. MEDICATIONS THAT ARE LEFT BEHIND WILL BE DROPPED OFF TO THE NEAREST HOSPITAL FOR DISPOSAL AFTER 72 HOURS.
THE CONSEQUENCE FOR SUCH BEHAVIOR COULD BE REPAIR/REPLACEMENT COSTS AND DISMISSAL FROM HH, AND FORFEITURE OF PREPAID FEES AND DEPOSITS.
AFTER 72 HOURS OF DISCHARGE, WE RESERVE THE RIGHT TO DISCARD ANY PROPERTY NOT COLLECTED AT THIS TIME. MEDICATIONS THAT ARE LEFT BEHIND WILL BE DROPPED OFF TO THE NEAREST HOSPITAL FOR DISPOSAL AFTER 72 HOURS.
GUESTS AND HL UNDERSTAND AND AGREE HH RESERVES THE RIGHT TO SEARCH PERSONAL SPACES AND PROPERTY ANYTIME A SAFETY CONCERN ARISES.
Refer to ZERO TOLERANCE POLICY
Refer to ZERO TOLERANCE POLICY
VIOLATIONS OF THESE RULES AND GUIDELINES MAY RESULT IN LOSS OF PRIVILEGES OR DISCHARGE.the OUR GUIDELINES AND POLICIES ARE STRUCTURED TO PROMOTE SAFETY AND ACCOUNTABILITY.
GUESTS ARE EXPECTED TO CONDUCT THEMSELVES IN A MANNER THAT IS IN ACCORDANCE WITH HH MISSION STATEMENT.
FINES MUST BE PAID PROMPTLY (WITHIN 24 HOURS) OR ADDITIONAL CONSEQUENCES MAY BE ADMINISTERED.
ALL GUESTS WILL BE PROVIDED A SIGNED COPY OF HH HANDBOOK UPON REQUEST. THE HANDBOOK IS ALSO POSTED IN KITCHEN AREA.
Dated ___________________________________
Guest Signature _____________________________________________________
House Lead Signature _________________________________________________
This agreement, dated ______________ by and between Hickory Hill hereinafter referred to as HH, (aka Rita King) and
_______________________________________________ hereinafter referred to as The Guest, is as follows:
1. TERM: The Guest agrees to reside at HH residence for no less than three months.
2. TIMELINESS OF PAYMENT: The Guest hereby agrees to pay contribution fees in advance either monthly, bi-monthly, or weekly from the inception of this agreement by 10 pm on the day due until the guest commitment is completed.
3. CONTRIBUTION FEES: The Guest contribution shall be either: $1050.00/month, $1150/month ($575 bi-monthly), OR $1300/month ($325 weekly). The Guest has agreed to pay _______________________________________ monthly / bi-monthly / weekly.
(guest initial)_____________(house lead initial)_____________
Should the need arise to accommodate The Guest, The Guest may request a change in payment intervals with seven days written notice at any time. An updated payment agreement will then be signed and becomes effective.
4. MOVE IN DEPOSIT: The Guest shall pay a $500 deposit (fully refundable after a 3-month stay and a written 30-day move-out notice) upon moving into HH to ensure the faithful performance of the terms and conditions of this agreement.
5. ADMINISTRATION FEE: The Guest shall pay a $350 administration fee (non-refundable) upon securing a reservation into HH and to ensure the faithful performance of the terms and conditions of this agreement.
6. LATE PAYMENT: If rent is past due more than one week, The Guest will be evicted.
7. CONDITION OF THE PREMISES: The Guest acknowledges that she has examined the house and is in good order, repaired, and in clean and livable condition.
8. MAINTENANCE AND REPAIR: The Guest shall keep and maintain the house in a reasonably safe, serviceable, clean, and presentable condition. This includes but is not limited to notifying the House Lead (HL) of any necessary damages and repairs. Keeping HER room and house clean and neat, disposing of waste/garbage in a safe and sanitary manner, and not engaging in any conduct or activity that would cause damage to the house.
9. ANIMALS: The Guest shall keep no domestic or other animals in or about the house.
10. RIGHT OF INSPECTION: House Lead (HL) retains the right to inspection and maintain a house key.
11. SUPPORT PROVIDED: We shall provide the following support/property to The Guest: comfortable enjoyment of the property, water, gas, electricity, trash, TV streaming service, internet, free parking, washer and dryer, bed linens, pillows, towels, laundry hamper, shower caddy, cleaning supplies, and random testing (15 Panel/UA/Breathalizer ).
12. HOUSE RULES: The Guest hereby agrees to adhere and abide by the HICKORY HILL - RULES AND GUIDELINES, attached hereto and incorporated herein, as part of this COMMUNITY Financial agreement.
13. TERMINATION: We reserve the right to terminate this agreement with or without cause, and The Guest hereby forfeits the administrative fee and move-in deposit if The Guest uses drugs or alcohol, fails to submit to a urine, drug panel, or breathalyzer test, engages in or threatens violence, is caught stealing or violates the HOUSE RULES AND GUIDELINES.
14. DEFAULT: The Guest shall default on this agreement if The Guest fails to fulfill any COMMUNITY obligation, house rules, or term by which The Guest is bound.
15. DESTRUCTION OF THE PREMISES: The Guest shall be solely responsible for the cost to repair any damage caused by The Guest or due to The Guest's negligence.
16. PERSONAL PROPERTY: All personal property brought or placed into the house shall be the sole responsibility of The Guest. Hickory Hill is not liable to The Guest or anyone else for damage, loss, or abandonment. Hickory Hill shall not be responsible for property left on the premises.
14. DEFAULT: The Guest shall default on this agreement if The Guest fails to fulfill any COMMUNITY obligation, house rules, or term by which The Guest is bound.term agreement. Failure to do so shall result in complete forfeiture of the $500 move-in deposit.
Dated ___________________________________
Guest Signature _____________________________________________________
House Lead Signature _________________________________________________
Successful Discharge:
Unsuccessful Discharge:
AFTER 72 HOURS FROM DISCHARGE WE RESERVES THE RIGHT TO DISCARD ANY PROPERTY NOT COLLECTED WITHIN IN THIS TIME. MEDICATIONS THAT ARE LEFT BEHIND WILL BE DROPPED OFF TO THE NEAREST HOSPITAL FOR DISPOSAL AFTER 72 HOURS.
HL will contact successful and unsuccessful discharges monthly to provide support if wanted by guest. HL will invite previous guest to holiday and recovery supportive events throughout the year.
Refer to ZERO TOLERANCE POLICY
Guest Handbook
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