Program Application Name * First Last Which one are you interested in... ladies house men's house Email Address * Phone Number * The address below is... the current address I live at a family member or friend's address my last address, but I don't live there anymore Address * Age * Social Media Handles Education * Some High School High School Diploma or GED Some College Associates Degree Bachelors Degree Other (vocational, certifications, etc.) Do you have a job? If so, what is it? * Do you have any challenges that make it hard to get or keep a job? * Do you have a felony or misdemeanor? If so, what for? * Do you have any physical or mental health challenges? * How did you hear about the JRR communal living houses and/or who referred you? * Why would you like to change your housing situation right now? * If you become a resident, what is one of your short term goals? * Ok, and what is one long term goal? * What does your current support system look like? * Anything else you would like us to know about you or your situation? Applicants for the communal housing program acknowledge... this home is for single people without children living with them the houses are sober living communities and applicants are expected to refrain from substance abuse the minimum age of 24 is required for participants of the program please acknowledge all three
