Application | newnessoflife

Are you on Medication?

Yes

No

Do you have any pending legal charges?

Yes

No

Do you have any warrants, bond, probation, parole?

Yes

No

Do you have any financial support towards program fees and expenses? (Inital costs vary depending on an individual's current situation and can be determined during an over the phone interview. Base fee is $100 (weekly) Plus a $100 intake fee

Yes

No

Are you able to work?

Yes

No

Do you have a state identification card?

Yes

No

Do you have a Birth Certificate?

Yes

No

Do you have a Social Security card?

Yes

No

Any current or past sexual offenses

Yes

No

Newness of Life Assessment

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Newness of Life Application

Download Application PDF