Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a resident, and false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. Please be advised that a drug and background screening will be asked and the outcome may prevent you from participating in the CityHouse program.
CityHouse Delray Beach, Inc. is committed to providing equal opportunity in all participant's practices to all qualified applicants without regard to age, race, color, national origin, sex, handicap, disability, or any other category protected by Federal, State, or Local Law. The Civil Rights Act of 1964 exempts CityHouse Delray Beach, Inc., a religious organization, against discrimination in its program based on religion because CityHouse Delray Beach, Inc. is a religious organization. It establishes its policies, procedures, and philosophy of business on biblical principles.
Thank you for your application.