I hereby certify that I am at least 18 years of age. I agree that all information given on this application is true and correct. I agree to submit personal references upon request. I understand that incomplete or incorrect information provided in the application may result in denial. I hereby waive any claim and releases Metamorphosis Supportive Housing from liability of any damage or harm to any person.
I, the undersigned, authorize the Program Director and its agents to obtain prior treatment information. I authorize the release of information from previous or housing [this includes prior treatment, sober living or halfway houses] for Housing Screening purposes only and is strictly confidential. This report contains information compiled from sources believed to be reliable, but the accuracy of which cannot be guaranteed. I hereby hold Metamorphosis Supportive Housing and its agents free and harmless of any liability for any damages arising out of any improper use of this information.
Important information about your rights under the Fair Credit reporting.