Form jotform 83366485500156Soteria House Residency Application - Jotform 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Personal Information' section. Enter your DOC number, projected release date, and personal details such as your name, SSN, and birth date.
3. Complete your current and last permanent address fields accurately. Ensure you include all necessary details like street address, city, state, and postal code.
4. Provide information about your emergency contact. Fill in their name, address, phone numbers, and relationship to you.
5. In the 'Employment History' section, detail your job history along with education level and any special training or skills you possess.
6. If applicable, provide military service details including start and end dates along with branch and type of discharge.
7. Address health conditions and current medications. If not applicable, simply write N/A.
8. List references including a family member and a close friend who can vouch for your integrity.
9. Finally, write a one-page essay about yourself focusing on short-term and long-term goals before signing the document electronically.

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