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EXPECTATIONS & GUIDELINES FORM January 19, 2010 Page | 1

THE OXFORD HOUSE POLICIES AND RULES

EXPECTATIONS AND GUIDELINES

Name of House

I, ________________________________, have read the Oxford House Policies and Rules. I completely understand the

expectations and guidelines placed upon me while I live in this House. I am willing to abide by these Policies and Rules.

further understand that if for any reason, by a majority vote of the House, the Members feel I have not followed through

with these Policies and Rules, that I may be expelled from this House. If I am expelled from this House, I understand that

I forfeit my move-in deposit.

NEW MEMBER: __________________________________ MOVE-IN DATE: __________

HOUSE PRESIDENT: _______________________________ DATE: __________________

WITNESS: _______________________________________ DATE: __________________

POLICIES, EXPECTATIONS AND GUIDELINES:

I will continue my aftercare program, if applicable, as mandated by my counselor; Based on my disability, if applicable, I will work as allowed or volunteer my time at least twenty [20]hours per week; The House has full knowledge of my financial status; I will abide by all rules of the House, as amended from time to time.

___________ [initial]

CONTRACT

PURPOSE OF CONTRACT: ________________________________________________________

LENGTH OF CONTRACT: ____________ BEGINNING DATE: ____________ END DATE: _________

CONDITIONS OF CONTRACT: (1) ___________________________________________________

(2) ___________________________________________________

(3)___________________________________________________

I, _________________________, understand by being placed on contract that I am being given an opportunity by the

House to continue to live here. Any violations of House Rules while on contract are grounds for immediate expulsion

from the House pursuant to House Rules.

NEW MEMBER: ______________________________ DATE:___________________

HOUSE PRESIDENT: ___________________________ DATE: ___________________

WITNESS: ________________________________ DATE: __________________