If you’ve been invited to apply, follow these simple steps.
- Complete and SAVE the form below to your computer, cloud drive, etc. by right clicking “Save As…” or on mobile devices pressing and holding until the “Save” dialogue pops up.
- If for some reason the form does not display correctly or you cannot save it, download it directly from this link.
- Return to the Contact Us page and send it to us via the “Upload a Completed PDF” section. If that doesn’t work, email it to 1 @ F B N C . U S
- If you are contacting us from an Inpatient or other Treatment Program, please have your supporting professional fill out this Clinical Addendum and send it to us with their contact information. This step is very important.
- You acknowledge that by sending this information, you give permission to Firebird Transformations WRG LLC to perform validation of the application and a background check which excludes all credit and personal finance history, because that’s just invasive and wrong! We are just focused on criminal history and pending litigation to protect each other, and to do the next right thing. That cool?