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Grace Place Application
Relationship Status
Do you have custody of them?
Do you have a proper ID to secure employment
Have you been diagnosed with a medical condition?
Have you been diagnosed with a mental health issue or disorder?
Do you have a history of suicide attempts?
Are you currently having thoughts of harming yourself?
Are you seeing a doctor and/or therapist for your mental health?
Are you involved in the legal system in any way?
Do you have to report to parole, corrections or probation?
Are you gang affiliated?
Do you have fines or child suppport that significantly impacts your finances?
Can you afford the $375 monthly rent amount?
Have you been to treatment in the past?
Have you successfully completed treatment?
Do you go to support meetings?
Do you have a sponsor?
Are you currently in out-patient treatment?
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