** Required Fields
* For the Question below you are not required to furnish information for:
1. any offense committed prior to your seventeenth (17) birthday, unless such offense was bound over for trial in Superior Court;
2. a first misdemeanor conviction for drunkeness, simple assault, speeding, or traffic violation, affray, or disturbance of the peace;
3. a misdemeanor conviction which occurred more than five (5) years ago unless you have been convicted of any offense within the last five (5) years;
4. a misdemeanor conviction which resulted in a period of incarceration which ended more that five (5) years ago unless you have been convicted of any offense within the last five (5) years.
NWW Committee for Community Living, Inc. | 1301 Centre Street Newton, MA 02459 | 617.964.6860 | firstname.lastname@example.org