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Are You Currently in Drug/Alcohol Treatment? Required
Have you had treatment for mental illness in the past? Required
Have you ever attempted suicide? Required
Are you having thoughts of harming yourself or others currently? Required
Are you currently being treated for any medical conditions? Required
Are you currently taking any prescribed medications? Required
Do you have any physical challenges that you are aware of that might interfere with employment or your ability to perform basic daily household chores? Required
Have you ever been convicted of any of the following violent criminal offences, or an attempt to commit, or conspiracy to commit any of these: Murder, Manslaughter, Rape, Arson, Criminal Pedophilia, Sexual Exploitation of a Minor, Aggravated Assault, Aggravated Riot, Aggravated Robbery, Aggravated Burglary (in the first or second degree), Aggravated Kidnapping, Felony Sexual Contact, Felony Child Abuse? Required
Are you a person who is registered on any Sex Offender Registry, or who is required to be registered on a Sex Offender Registry? Required
Are you able to afford weekly fees? Required
Are you currently employed? Required

Thanks for applying! Please see below.

After submitting your application, please call or text 440-406-2079 to confirm it was received and discuss the next steps.

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