Community Based Housing Application

Provide full and complete answers to every question. If a question does not apply to you answer "N/A". Incomplete or misleading information will influence your application and/or stay in the program. If you require assistance in completing the form please call our office at 506-855-0626 between the hours of 10am - 3pm.

Are you curently on parole?

Are you currently taking prescribed medications?

Are you willing to take a drug test?

Are you willing to attend life skills courses while in the Community Based Housing Program?

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