Application Instructions

  1. The completed application must be signed and submitted below. A copy of this form will be emailed to you once submitted. 
  2. Read and complete the application in its entirety,
  3. Sign the application in every space provided for applicant signature.
  4. Applications that are missing signatures or information will be considered incomplete and will be discarded.
  5. If you have any questions regarding your application, please call us at 205-324-2271 or email us at info@jimmiehalemission.com
  6. Persons with a previous criminal history of violent crimes, sexual crimes or with current outstanding warrants cannot be accepted.
Copy link
Powered by Social Snap