Application

There is a $600.00 entry fee do you have it?

Yes
No

Do you have any child support or DHS cases opened at this time?

Yes
No

Are you a born again Christian?

Yes
No

Are you willing to seek Jesus Christ as the answer to all your problems?

Yes
No

Do you have criminal cases pending?

Yes
No

Have you ever been convicted of a sex crime?

Yes
No

Do you have health insurance?

Yes
No

Have you tested positive for sexually transmitted diseases such as HIV Hepatitis? (We do not disciminate.)

Yes
No

Do you smoke?

Yes
No

Do you use any other smokeless tobacco products such as chew or dip? (Please note: we strictly prohibit use of these product on and off JSM properties at all times.)

Yes
No

Do you receive any monthly benefits such as - pensions retirement SSI or disability?

Yes
No

Can you or your family members provide funds for transportation to and from your scheduled court appearances or other appointments?

Yes
No

JSM Application for Admission