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_________________________________________________________________ ) /Pg 9 0 R /K [24] >> endobj 122 0 obj << /Type /StructElem /S /P /E (If you are comfortable, please list your mental health diagnoses that you would like to share with us: ) /Pg 9 0 R /K [25] >> endobj 123 0 obj << /Type /StructElem /S /P /E (__________________________________________________________________________________________________) /Pg 9 0 R /K [26] >> endobj 124 0 obj << /Type /StructElem /S /P /E ( ) /Pg 9 0 R >> endobj 125 0 obj << /Type /StructElem /S /Figure /P 43 0 R /Pg 9 0 R /K [3] >> endobj 126 0 obj << /Type /StructElem /S /H2 /T ( Attach to this application a biographical narrative \(maximum of two pages, typed, and double spaced\) that includes the following information: ) /E ( Attach to this application a biographical narrative \(maximum of two pages, typed, and double spaced\) that includes the following information: ) /Pg 9 0 R /K [5] >> endobj 127 0 obj << /Type /StructElem /S /P /E <8020> /Pg 9 0 R /K [6] >> endobj 128 0 obj << /Type /StructElem /S /P /E <8020> /Pg 9 0 R /K [7] >> endobj 129 0 obj << /Type /StructElem /S /P /E <8020> /Pg 9 0 R /K [8] >> endobj 130 0 obj << /Type /StructElem /S /P /E <8020> /Pg 9 0 R /K [9] >> endobj 131 0 obj << /Type /StructElem /S /P /E (Your substance use history and recovery journey ) /Pg 9 0 R /K [10] >> endobj 132 0 obj << /Type /StructElem /S /P /E (What recovery means to you and how it plays a role in your life ) /Pg 9 0 R /K [11] >> endobj 133 0 obj << /Type /StructElem /S /P /E (Your chosen path of recovery and how you maintain it ) /Pg 9 0 R /K [12] >> endobj 134 0 obj << /Type /StructElem /S /P /E (How you see academics enhancing your recovery ) /Pg 9 0 R /K [13] >> endobj 135 0 obj << /Type /StructElem /S /H1 /T (Return application, narrative, and signed Program Agreement via email at mmorris6@central.uh.edu) /E (Return application, narrative, and signed Program Agreement via email at mmorris6@central.uh.edu) /Pg 9 0 R >> endobj 136 0 obj << /Type /StructElem /S /Figure /P 43 0 R /Pg 9 0 R /K [4] >> endobj 137 0 obj << /Type /StructElem /S /P /E (Signature _______________________________________________________ ) /Pg 9 0 R /K [14] >> endobj 138 0 obj << /Type /StructElem /S /Figure /P 43 0 R /Pg 9 0 R /K [2] >> endobj 139 0 obj << /Type /StructElem /S /P /E (Print __________________________________________________________) /Pg 9 0 R /K [16] >> endobj 140 0 obj << /Type /StructElem /S /Figure /P 43 0 R /Pg 9 0 R /K [1] >> endobj 141 0 obj << /Type /StructElem /S /P /E ( ) /Pg 9 0 R /K [27] >> endobj 142 0 obj << /Type /StructElem /S /P /E (Date___________ ) /Pg 9 0 R /K [15] >> endobj 143 0 obj << /Type /StructElem /S /P /E ( ) /Pg 9 0 R /K [18] >> endobj 144 0 obj << /Type /StructElem /S /P /E <436F756761727320696E205265636F7665727920852050726F6772616D204170706C69636174696F6E207C3320> /Pg 9 0 R /K [28] >> endobj 145 0 obj << /Type /StructElem /S /P /E (Revised 07/2022 ) /Pg 9 0 R /K [29] >> endobj 146 0 obj << /Type /StructElem /S /Figure /P 44 0 R /Pg 10 0 R /K [0] >> endobj 147 0 obj << /Type /StructElem /S /H1 /T ( Program Agreement ) /E ( Program Agreement ) /Pg 10 0 R /K [50] >> endobj 148 0 obj << /Type /StructElem /S /Figure /P 44 0 R /Pg 10 0 R /K [2] >> endobj 149 0 obj << /Type /StructElem /S /H4 /T (Thank you for your interest in Cougars in Recovery! Cougars in Recovery \(CIR\) is comprised of various walks of life and recovery. As such, we celebrate all recovery and are an abstinence-based program. This means that our program does not follow a particular approach to recovery to ensure our community is inclusive to the various approaches leading to and maintaining recovery. ) /E (Thank you for your interest in Cougars in Recovery! Cougars in Recovery \(CIR\) is comprised of various walks of life and recovery. As such, we celebrate all recovery and are an abstinence-based program. This means that our program does not follow a particular approach to recovery to ensure our community is inclusive to the various approaches leading to and maintaining recovery. ) /Pg 10 0 R /K [3] >> endobj 150 0 obj << /Type /StructElem /S /H4 /T (Being a member of Cougars in Recovery comes with access and eligibility to: ) /E (Being a member of Cougars in Recovery comes with access and eligibility to: ) /Pg 10 0 R /K [4] >> endobj 151 0 obj << /Type /StructElem /S /P /E (- ) /Pg 10 0 R /K [5] >> endobj 152 0 obj << /Type /StructElem /S /P /E (- ) /Pg 10 0 R /K [6] >> endobj 153 0 obj << /Type /StructElem /S /P /E (- ) /Pg 10 0 R /K [7] >> endobj 154 0 obj << /Type /StructElem /S /P /E (- ) /Pg 10 0 R /K [8] >> endobj 155 0 obj << /Type /StructElem /S /P /E (- ) /Pg 10 0 R /K [9] >> endobj 156 0 obj << /Type /StructElem /S /P /E (- ) /Pg 10 0 R /K [10] >> endobj 157 0 obj << /Type /StructElem /S /H4 /T (24/7 lounge space, exclusive to members only - - - - - - ) /E (24/7 lounge space, exclusive to members only - - - - - - ) /Pg 10 0 R /K [11 12] >> endobj 158 0 obj << /Type /StructElem /S /H4 /T (Study space with free printing Priority registration* Recovery housing* Recovery scholarships* Hiking and camping activities* ) /E (Study space with free printing Priority registration* Recovery housing* Recovery scholarships* Hiking and camping activities* ) /Pg 10 0 R /K [22 23] >> endobj 159 0 obj << /Type /StructElem /S /H4 /T (On-campus AA meetings Substance Free fellowship Recovery tailgating Monthly community gatherings Individualized support from CIR staff Liaison to on and off campus resources ) /E (On-campus AA meetings Substance Free fellowship Recovery tailgating Monthly community gatherings Individualized support from CIR staff Liaison to on and off campus resources ) /Pg 10 0 R /K [13 14] >> endobj 160 0 obj << /Type /StructElem /S /H3 /T (*Includes eligibility requirements. Please connect with CIR staff for any questions. ) /E (*Includes eligibility requirements. Please connect with CIR staff for any questions. ) /Pg 10 0 R /K [24] >> endobj 161 0 obj << /Type /StructElem /S /P /E (- ) /Pg 10 0 R /K [15] >> endobj 162 0 obj << /Type /StructElem /S /P /E (- ) /Pg 10 0 R /K [16] >> endobj 163 0 obj << /Type /StructElem /S /P /E (- - ) /Pg 10 0 R /K [17] >> endobj 164 0 obj << /Type /StructElem /S /P /E (- ) /Pg 10 0 R /K [18] >> endobj 165 0 obj << /Type /StructElem /S /P /E (- ) /Pg 10 0 R /K [19] >> endobj 166 0 obj << /Type /StructElem /S /H4 /T (Leadership program* Professional development Attendance to national conferences* Volunteering opportunities Recommendation letters Mentorship initiative* ) /E (Leadership program* Professional development Attendance to national conferences* Volunteering opportunities Recommendation letters Mentorship initiative* ) /Pg 10 0 R /K [20 21] >> endobj 167 0 obj << /Type /StructElem /S /H4 /T (The only requirements to being a member of the CIR community includes a commitment to yourself to maintain abstinence and a commitment to the CIR community. This commitment looks like attending a weekly Community Check-In meeting. There are eight offered and held at the same time each week. We ask that you commit to one of these eight meetings throughout the semester. Members are asked to attend 85% of their Community Check-In held throughout the semester which grants you priority registration for the following semester. Extenuating circumstances should be discussed with CIR staff. ** Additional requirements may be asked of students who are living in the CIR Recovery Townhouse located on-campus. ** ) /E (The only requirements to being a member of the CIR community includes a commitment to yourself to maintain abstinence and a commitment to the CIR community. This commitment looks like attending a weekly Community Check-In meeting. There are eight offered and held at the same time each week. We ask that you commit to one of these eight meetings throughout the semester. Members are asked to attend 85% of their Community Check-In held throughout the semester which grants you priority registration for the following semester. Extenuating circumstances should be discussed with CIR staff. ** Additional requirements may be asked of students who are living in the CIR Recovery Townhouse located on-campus. ** ) /Pg 10 0 R /K [25 26] >> endobj 168 0 obj << /Type /StructElem /S /H1 /T (Expectations of Participants ) /E (Expectations of Participants ) /Pg 10 0 R /K [27] >> endobj 169 0 obj << /Type /StructElem /S /Figure /P 44 0 R /Pg 10 0 R /K [1] >> endobj 170 0 obj << /Type /StructElem /S /H4 /T (Please initial each statement to indicate you have read and understand the agreement. By enrolling in Cougars in Recovery, I acknowledge that: ) /E (Please initial each statement to indicate you have read and understand the agreement. By enrolling in Cougars in Recovery, I acknowledge that: ) /Pg 10 0 R /K [28] >> endobj 171 0 obj << /Type /StructElem /S /H4 /T (____ I commit to community within CIR by: ) /E (____ I commit to community within CIR by: ) /Pg 10 0 R /K [29] >> endobj 172 0 obj << /Type /StructElem /S /P /E <8020> /Pg 10 0 R /K [30] >> endobj 173 0 obj << /Type /StructElem /S /H4 /T <556E6465727374616E64696E6720746861742069662049206265636F6D65206177617265206F6620616E6F7468657220636F6D6D756E697479206D656D62657290732072656F6363757272656E6365206F662073796D70746F6D732C20492077696C6C20686F6C642068696D2F686572206163636F756E7461626C652062793A20> /E <556E6465727374616E64696E6720746861742069662049206265636F6D65206177617265206F6620616E6F7468657220636F6D6D756E697479206D656D62657290732072656F6363757272656E6365206F662073796D70746F6D732C20492077696C6C20686F6C642068696D2F686572206163636F756E7461626C652062793A20> /Pg 10 0 R /K [31] >> endobj 174 0 obj << /Type /StructElem /S /P /E (- ) /Pg 10 0 R /K [32] >> endobj 175 0 obj << /Type /StructElem /S /P /E (- ) /Pg 10 0 R /K [33] >> endobj 176 0 obj << /Type /StructElem /S /P /E (- ) /Pg 10 0 R /K [34] >> endobj 177 0 obj << /Type /StructElem /S /H4 /T <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> /E <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> /Pg 10 0 R /K [35] >> endobj 178 0 obj << /Type /StructElem /S /P /E <8020> /Pg 10 0 R /K [36] >> endobj 179 0 obj << /Type /StructElem /S /H4 /T (Building relationships with the CIR fellowship and staff ) /E (Building relationships with the CIR fellowship and staff ) /Pg 10 0 R /K [37] >> endobj 180 0 obj << /Type /StructElem /S /H4 /T (____ I commit to civility within the CIR community and program by: ) /E (____ I commit to civility within the CIR community and program by: ) /Pg 10 0 R /K [38] >> endobj 181 0 obj << /Type /StructElem /S /P /E <8020> /Pg 10 0 R /K [39] >> endobj 182 0 obj << /Type /StructElem /S /H4 /T (Being mindful, respectful, and accepting of CIR community members. Since the CIR community is comprised of individuals from various walks of life and identify with various communities, respectful language is integral to the community feeling safe and inclusive. ) /E (Being mindful, respectful, and accepting of CIR community members. Since the CIR community is comprised of individuals from various walks of life and identify with various communities, respectful language is integral to the community feeling safe and inclusive. ) /Pg 10 0 R /K [40] >> endobj 183 0 obj << /Type /StructElem /S /H4 /T (____ I commit to being courteous with the CIR community lounge space by: ) /E (____ I commit to being courteous with the CIR community lounge space by: ) /Pg 10 0 R /K [41] >> endobj 184 0 obj << /Type /StructElem /S /P /E <8020> /Pg 10 0 R /K [42] >> endobj 185 0 obj << /Type /StructElem /S /P /E <8020> /Pg 10 0 R /K [43] >> endobj 186 0 obj << /Type /StructElem /S /H4 /T (Ensuring that the lounge space consists of CIR members only \(i.e., the lounge space is for CIR community members only\). Being courteous of the shared space by picking up after myself and tidying up the space as I see fit. ) /E (Ensuring that the lounge space consists of CIR members only \(i.e., the lounge space is for CIR community members only\). Being courteous of the shared space by picking up after myself and tidying up the space as I see fit. ) /Pg 10 0 R /K [44] >> endobj 187 0 obj << /Type /StructElem /S /H4 /T (____ I will attend one check-in meeting each week to get the support that I need and to support my peers. ____ If I have less than 90 days of recovery, I agree to adhere to a Recovery Protection Plan as set forth by CIR Staff. ____ I will actively participate, to the best of my ability, in the opportunities available through CIR, the UH campus, and the local community. ______________________________________________________________________________________________________________________ ) /E (____ I will attend one check-in meeting each week to get the support that I need and to support my peers. ____ If I have less than 90 days of recovery, I agree to adhere to a Recovery Protection Plan as set forth by CIR Staff. ____ I will actively participate, to the best of my ability, in the opportunities available through CIR, the UH campus, and the local community. ______________________________________________________________________________________________________________________ ) /Pg 10 0 R /K [45 46] >> endobj 188 0 obj << /Type /StructElem /S /P /E (I have read and understand by my signature, each point indicated above. I am agreeing to actively participate in the Cougars in Recovery Community. 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