Never2Scarred Ministry Resident Application
Please complete all 5 sections of the application.  Call (828)467-7243 upon completing the application to verify your application was received.
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Last Name *
First Name *
Current Street/PO Address *
 City *
State *
Zip Code *
Date of Birth *
MM
/
DD
/
YYYY
Email Address
Phone Number *
Provide a number where you can be contacted.
Where was your last residence? *
Give complete address, city, state, and zip code.
Educational Level *
Please indicate highest education completed.
Required
Marital Status *
Required
Do you have children under the age of 18? *
Legal custody of children.
Indicate who has legal custody of children. Include name, address, phone number and relationship.
Do you have a current, valid driver's license or state issued identification card? *
How did you find out about Never2Scarred Ministry? *
Required
Why do you want to participate in the Never2Scarred Ministry residence program? *
Are you willing to persevere and do what it takes to change your life: *
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