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  • English (US)
  • Application for Admission

    Please fill out the application below as much as possible
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  • References

    Please list 3 recovery related references. You will need each reference to write you a short letter of reccomendation and attach it to this application.

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  • Referral to Program


  • Tell us about yourself

  • Educational Background

    Please answer the questions relevant to you.

  • Employment Information

  • Commitment & Access

  • Disclaimer

    By enrolling in this program you give Kentucky Rural Healthcare Information Organization permission to share your information with the U.S. Department of Labor and partners of the Workforce Opportunity for Rural Communities Project such as: Achieving Recovery Together, Appalachian KY Health Care Access Network, AppHarvest, Horizon Health, Kentucky Career Center, Northeast Kentucky Substance Use Response Coalition, Pathways, and St. Claire HealthCare. 

     

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