BY SIGNING BELOW I AGREE TO RELEASE OF INFORMTION: I authorize Northern Alliance Reentry Inc. or its agents to exchange and/or obtain relevant information with agencies including, but not limited to probation/parole officers, Department of Corrections (and other state agencies), social service agencies, housing providers, substance abuse/mental health treatment providers, employers, attorneys, training agencies, education providers, contractors, grantees, etc.
BY SIGNING BELOW I CONSENT AND ACKNOWLEDGMENT: I hereby certify that I am at least 18 years of age. Applicant also acknowledges and agrees to abide by the Northern Alliance Reentry Handbook upon intake. Failure to adhere to the Handbook may result in termination of residency.
I understand I will need to have rent in the amount of $775 per month.