Welcome Friend.

Weld is a community of people in all forms and stages of recovery. We believe that all people should be given an opportunity to belong and thrive. We offer a wide array of services, from help with job placement to housing.

If you’re interested in joining this community, please complete the following form. The information you provide below is strictly confidential and will not be shared outside of our intake team. You may share as much or as little as you’d like.

If you'd like to learn more about Weld before completing this interest form, feel free to give us a call at (206) 567-9030. 

Name
Name
Address (if applicable)
Address (if applicable)
What is your current living situation?
Phone (if applicable)
Phone (if applicable)
Are you an alcoholic?
If yes, date of your last drink?
If yes, date of your last drink?
Are you addicted to drugs?
If yes, date of your last use?
If yes, date of your last use?
Are you currently in recovery for addiction?
Are you currently incarcerated?
If yes, when are you scheduled for release?
If yes, when are you scheduled for release?
Will you receive a DOC voucher upon release?
Are you currently employed?
Are you seeking employment?
Are you interested in living in a Weld House with other Weld Members?
If you were referred to Weld, who referred you?
If you were referred to Weld, who referred you?