If you answered yes above, please list the date(s), location and charges below. *
If you answered "YES" or "NOT YET" to the question above, please explain below. *
If you answered "YES" above, please explain the details of the court order or stipulations including length of stay, the state, city and county the order came from as well as the judge(s) and/or probation/parole officer(s) name(s) on the order and their contact info. *
If YES, please list the name(s), type(s), year(s) and result(s) of the conviction(s). For example, if you had a felony theft, you would type: Theft, felony, 1995, 3 years probation. If you have never been convicted of a violent felony, just type NONE. *
If you answered "YES" above, please explain the details of the court order or stipulations including length of stay, the state, city and county the order came from as well as the judge(s) and/or probation/parole officer(s) name(s) on the order and their contact info.
Comment(s)
If you checked ANY of the boxes above (except "NONE OF THESE") please comment below in the following format: "Valium / twice daily /10mg / for 6 months"
If you answered "Other" to the question above, please feel free to explain.
What faiths, beliefs or denominations (if any) have you observed, practiced, participated, studied or followed in the past?
If you answered "Other" to the question above, please feel free to explain.