Felony conviction exception request

  • A criminal background check will be performed by RMHC-KC staff on all referred guests. Our general policy is that any person with a felony conviction is ineligible to stay overnight. If you are a felon wishing to request an exception to this policy, please complete the following form. If you need assistance, please call 816-842-8321 ext 115. Please note: without exception, no one with a criminal history of violence, sexual misconduct or abuse of a child is eligible to stay at the House.
  • First NameMiddle NameLast NameDate of Birth 
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  • OffenseSentence/PunishmentDate of ConvictionCity, State of ConvictionAre you still on parole or probation? 
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