To participate in alumni services, please complete the Rosecrance Alumni Survey and sign the Consent for Participating in Alumni Services & Speaker's Bureau and mail it to Rosecrance Health Network, c/o Alumni Coordinator, 1021 N. Mulford, Rd. Rockford, IL 61107. For anyone under 18 years of age, a parent/guardian also needs to sign the form.

When you complete and return the survey, you give us permission to send you information about our Annual Reunion Picnics, sober dances and recovery related events and to connect you with others in recovery (if desired). By taking less than five minutes of your time to complete the survey, you will not only provide invaluable information that will lead to the success of the alumni program, but you will also assist us in providing effective relapse prevention and sober living resources for you and others.
 

Speaker’s Bureau
Join the Speaker’s Bureau and give back to the recovery community. Alumni in the Speaker’s Bureau share their experiences of recovering with people in treatment and organizations within the community.

Alumni Contact Person
Help newly recovering alumni make the transition from treatment to everyday living and the 12-step community by being a Rosecrance alumni contact person.

Surveys

Provide your ideas, suggestions and feedback concerning alumni events and services (print and fill out survey). When you complete and return the survey and the consent form, you give us permission to send you information about our Annual Reunion Picnics, sober dances and recovery related events and to connect you with others in recovery (if desired).

Click here to complete the survey:

Rosecrance Alumni Services Survey (print )

Rosecrance Alumni Services Survey (online)

Participation Consent Form

Under Federal confidentiality and privacy rules, Rosecrance employees and volunteers cannot disclose your information to offer you alumni services without your written authorization. The purpose of this authorization is to permit Rosecrance to contact you for the purpose of participating in these activities after you finish treatment.

To download a printable Consent for Participating form, click here.

If you have any questions or would like more information contact:

Alumni Coordinator
David Sutor
sutord@rosecrance.net
815.985.9433