REsident Application
We're so glad you're here.
Apply now to become a resident of Dismas Home
Our eligibility requirements include:
- Women who are 18 to 60 years of age
- Resident of New Hampshire
- Justice-involved with no convictions of arson, sex offenses, assault, or other violent crimes
- No violent behavior while in the justice system
- Income that falls below 400% of the Federal Poverty Level
Application Details
About the Application
The application for residency at Dismas Home is comprised of six sections:
- Personal & Family History
- Justice System History
- Education, Work, & Military History
- Self Evaluation
- Substance Use History
- Application Agreement & Release of Information
You must complete each full section before being prompted to move on to the next.
Application Details
Information We Need
You will need to supply information including, but not limited to:
- Prior and current substance use and any prior treatment sought
- Prior and current employment, along with prior and current employment addresses, business names, and supervisor information
- Incarceration, arrest, and justice system details such as parole officer contact information, sentence length, arrest history, etc.
- Insurance Information
It may be useful to have this information readily available when beginning the application.