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Every mother and father, who has an addiction, has an earnest desire
to be free of addiction for the sake of their children.

We understand that the road to recovery for women men and families in recovery is hampered by the everyday needs of their children. It is our purpose to supplement the needs of the children through ongoing yearly support by partnering with individuals and businesses within our community.

“Every addict believes in God because they have met the Devil.”

Every mother and father, who has an addiction, has an earnest desire to be free of addiction for the sake of their children. The paternal instinct to nurture does not wane with an addiction. In fact it can accelerate relapse due to the pressures of parenting. The purpose of Jenna’s Rootz is to help minimize the chance of relapse. We will accomplish this through ongoing support for the children of mothers and fathers in recovery.

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Apply for Assistance:

"*" indicates required fields

Name*

Date of Birth*

Address*

Street Address City State

Email*

Phone*

Marital Status*

Spouse's Name (if applicable)

Do You Have a Government Issued I.D.?*

If Yes, Government I.D. #

Are You Currently Employed?*

If Yes, Place of Employment?

If unemployed, what job skills do you have?

Do you or anyone in your household receive disability, SSI or other unemployment benefits?*

If Yes, What Type of Benefits?

Are you or anyone in your household currently receiving help from another non-profit organization?*

If Yes, Names of Organizations

What is your current household income?*

How Many Children Live in the Home?*

Can You Provide Birth Certificates for Each Child?*

Ages Of Children and Sizes of Clothing and Shoes:

Have You Attended a Drug Treatment Program in the Last 12 Months?*

If Yes, Name of Facility:

Dates Attended

Type of Facility

Was This Treatment Court Ordered?

Did You Complete This Program Successfully?

Do You Currently Attend Meetings, Counseling or Aftercare for Addiction?*

Where Do You Currently Meet?

Do You Have a Sponsor or Support System in Place?*

Have You Ever Been Arrested?*

If Yes, List Charges and Dates of Convictions

What Are Your Long Term Goals?*

What are Your Current Needs for You and Your Children?*

How Did You Hear About Jenna's Rootz?*

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Apply for Assistance

Every mother and father, who has an addiction, has an earnest desireto be free of addiction for the sake of their children.

“Every addict believes in God because they have met the Devil.”

Apply for Assistance:

Every mother and father, who has an addiction, has an earnest desire
to be free of addiction for the sake of their children.