Transportation Voucher Application
Recovered Souls is offering Charlie Cards to Massachesetts residents for travel to meetings, appointments or employment only. Applicants will be notified of a decision upon review of their application.

Recovered Souls is a charitable foundation established to support individuals in recovery from substance addiction and remove barriers that interfere with obtaining or maintaining sobriety and achieving personal and professional well-being.
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Email *
Are you a Massachusetts resident for 2 years (plus)
*
Required
Are you a resident of
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First Name ** As listed on photo ID! *
Last Name** As listed on photo ID! *
Phone Number *
Date of Birth *
Street Address *
City *
State and Zip Code *
What kind of travel assistance are you looking for and what is the main reason for your need? *
How will travel assistance help you maintain your recovery? *
Are you enrolled in a treatment program, have a home group or sponsor ? Please give detail on how you are maintaining your recovery. *
Are you a veteran *
Are you currently employed? please provide details of your employment status. *
Have you exhausted all of your financial resources in order to obtain funds for your travel arrangements? Please explain, why and how. *
I identify my ethnicity as *
Required
I understand the Recovered Souls Foundation will use the requested information to determine financial assistance eligibility and will be held in the strictest confidence.  FILL IN YOUR FULL NAME: *
Check to confirm your signature: *
Required
DATE: *
A copy of your responses will be emailed to the address you provided.
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