Get Safe Harbor Application

Filling out the Safe Harbor Application online can be an essential step towards accessing the support and resources you need. This guide aims to provide clear and straightforward instructions to help you successfully complete the application with confidence.

Follow the steps to fill out your application effectively.

1. Press the ‘Get Form’ button to access the Safe Harbor Application and open it in your editing tool.
2. Begin with the basic information section, filling in your full name, date of application, age, date of birth, and place of birth. Make sure to provide your current address and information about your living situation.
3. In the housing section, detail how long you have lived at your current address. Indicate if you have spent time in a controlled environment within the past 30 days, and if so, specify the duration and reason.
4. For the employment section, list your last employer, your occupation, and the reason for leaving. Provide information regarding your job skills and type of work you are interested in.
5. Complete the education section by providing details about your high school education. Indicate if you graduated and mention any vocational school or college you attended, including credits earned and degrees received.
6. In the substance/alcohol history section, describe your drug and alcohol use patterns, answering specific questions concerning your history.
7. For the medical/mental health history section, disclose information about your medical examinations, any medications you are taking, and any chronic medical problems you face.
8. Fill out the family/relationship history, providing your marital status, usual living arrangements, and family dynamics.
9. Address the legal history section, noting any past or present involvement with the law, including arrests and charges.
10. In the financial information section, outline your financial obligations and assets. Provide a summary of income from various sources and your dependencies.
11. Complete the recreation/hobbies section by indicating your interests and reasons for seeking residency or treatment.
12. Review all your provided information for accuracy. Once you have confirmed that everything is correct, you can save, download, print, or share the completed form.

Complete the Safe Harbor Application online today to take the first step towards support and services.