Application for a Certificate of Good Standing

Name:
DOB:
SID:
Address:
Email:
Telephone:
Length of time since incarceration:
On supervision? Y/N
Supervising officer:
Navigator:
Case Manager:
Employment status:
Housing status:
Documents included with this application:
  • Police reports ☐
  • Letter from Parole Officer ☐
  • Rent Well Certificate ☐
  • Evidence of long-term sobriety. ☐
  • Evidence of mental health care and on-going support ☐
  • Evidence of gainful employment or completed vocational training☐
  • Character reference letters ☐
  • Innovative Changes certificate☐
  • Evidence of voluntary community service ☐
  • Evidence of on-going mentoring or case management ☐
Other: ______

Signature: ______

Date: ______

Materials needed to apply for Certificate of Good Standing

The panel willconsider the following materials:

  • Letter from Parole Officer
  • Rent Well Certificate: Class that increases an applicants’ “rent-ability.” Graduates are eligible for the Rent Well Landlord Guarantee, which is a type of "insurance" (up to $2,000) for landlords that encourage them to rent to households with barriers to housing.
  • Evidence of long-term sobriety (if appropriate): Examples of evidence include a 12-step sponsor letter of support or treatment program certificate.
  • Evidence of mental health care and on-going support, (if appropriate): An example of evidence includes a letter of support from a mental health provider.
  • Evidence of gainful employment or completed vocational training: Ideally, this would be presented along with positive references from employer.
  • Additional character reference letters: These could come from professional relationships, ie: an RTC Resource Navigator. At least one is required but 2-3 are preferred.
  • Police reports: If you believe that the circumstances of your crime will help then include this or other legal documents describing the offenses committed in your application.
  • Innovative Changes certificate: Comprehensive financial literacy classes to help applicants better manage their finances.
  • Evidence of voluntary community serviceor other healthy community involvement.
  • Evidence of on-going mentoring or case management: letters of support showing that the applicant has engaged in long term support to aid their reentry.

Remember: The more materials included in the application, the better your chances of being granted a certificate. Please contact Jeremy Nichols at 971-255-0547 x212 or at if you have questions regarding these documents.

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