STANDARD - VSL - Transparent

Vanderburgh Sober Living
(844) 762-3747
www.vanderburghhouse.com

💜 Vanderburgh Sober Living^TM is a cooperative
network of independently operated recovery residences
organized by The Vanderburgh Foundation, Inc.,
a registered 501(c)3 Charitable Foundation.

📋 Operator Info Form

VSL requires this form to be completed for all Chartered Operator "Key Leaders". Please complete this form to the best of your ability.

Read more: 📑 Pre-Charter Checklist

Please read out to a member of our Community Team if you have any questions.

First name

Last name

Email*

Phone number

Street address

City

State

Where do you currently work?

What is your job title?

✏️ Short Responses

What role will you play in day-to-day operations?*

If you are the sole Owner/Operator: please indicate that you will not have any partners or team members involved in day-to-day operations.

If you are part of a team: please specify if your role will include administrative, operational, outreach, or other duties.

How involved will you be in operations?

Please describe how much time you have available to spend on operations and your availability for training and ongoing leadership.

📤 Document Uploads

📤 Photo ID*

Please upload a current copy of your government-issued photo ID.
Acceptable documents include:

1. Driver's license or state-issued ID card
2. Passport book or card
3. Other government-issued photograph ID

📤 Resume or Statement of Experience

Please upload a current version of your resume or a statement of experience. A statement of experience can be in narrative form and provide details about your skills and experience in administrative tasks, operational duties, outreach, or other related roles.

This helps us understand your background and where there may be opportunities for training and support.