Step 1 of 3 33% Please complete all the fields in the next few forms.Name* First Last Email* Phone*CredentialsPrevious TrainingRoles* Does this person have ownership in this organization? Is this the primary contact for FARR Certification Administrators and Inspectors? Is this person authorized to make changes to your FARR website residence listing? Does this person handle admissions/intake? Is this person in charge of / involved in marketing? Is this person a house manager? Is this person a Certified Recovery Residence Administrator? Is this person in charge of compliance at your recovery residence? Level of SupportThe following questions will help us determine the level of care you provide at this residence based on our standards, as established by NARR. Level of Care*IIIIIIIVPlease enter the level of care you're applying for.Residence InformationResidence Name*Residence Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Manager Name*Manager Phone*Manager Email* Number of Units*Number of Bedrooms*Number of Bathrooms*Number of Beds*Do you welcome persons on a Medication Assisted Treatment protocol into your system?YesNoPriority Population*WomenMenCo-edWomen with ChildrenLGBTVeteransRecovery Path12 StepFaith-basedSMARTAll PathwaysType of Structure*Single familyMulti familyIs your residence abstinence based?*YesNoIs food included in fees?*YesNoDo you manage client funds?*YesNoDate Established* Date Format: MM slash DD slash YYYY Rent or Program FeesBilling Frequency*WeeklyMonthlyBothShared Room AmountPrivate Room AmountAdministrative FeesDeposit AmountFirst and Last AmountPro-rated AmountWebsite Listing InformationResidence ProfileWebsiteLogoAccepted file types: jpg, gif, png, jpeg. ContactContacts*First NameLast NameAddress 1Address 2CityStateZipROLES Roles* Does this person have ownership in this organization? Is this the primary contact for FARR Certification Administrators and Inspectors? Is this person authorized to make changes to your FARR website residence listing? Does this person handle admissions/intake? Is this person in charge of / involved in marketing? Is this person a house manager? Is this person a Certified Recovery Residence Administrator? Is this person in charge of compliance at your recovery residence?