Returning Relatives: rapid response resource support

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Indigenous Justice will prioritize program participants who meet the following eligibility criteria at the time of recruitment:

1. Tribally affiliated Indigenous People who are survivors of violence/justice impacted
2. Indigenous peoples soon to be released from incarceration or recently released from incarceration
3. Individuals who are very low-income (0-30% of Area Median Income) and, should funding allow, applicants deemed low-income (30-50% of Area Median Income).

While open to all who meet the above criteria, Indigenous Justice will prioritize those who are most in need. This includes but is not limited to: Indigenous returning relatives, those financially impacted by the pandemic, those disconnected from other benefits (i.e., justice-impacted individuals, individuals with experience of chronic homelessness, etc.), and individuals with disabilities.

Email *

Are you formerly incarcerated? *

Yes

Option 3

Are you filling this out yourself? *

Yes

If an Advocate is helping you please list their name here:

Amount of Funds ($) being requested? *

Purpose of rapid response emergency support ($) request? (how will the funds ($) be used.) *

When do you need the Funds ($) by? *

YYYY

What is the preferred method of payment *

ACH Bank Transfer

Gift Card

Required

Name *

First and last name

Age

Gender Identity

Race *

American Indian/Alaska Native/First Nations

Arab/Middle Eastern

Asian/Pacific Islander/Native Hawaiian

White/Caucasian/European American

Black/African/African-Caribbean

African American

Latin/Latina/Latinx/Latin/Hispanic

Multi-Racial:

Other:

Tribal Affiliation

Do you have any Dependents? *

Yes

If, yes, how many dependents and what is your relationship to those dependents?

What is your current annual income? *

Address (Street, City, State, Zip) *

Email *

Phone number *

Comments: *

Thank You!

Please note an application does not guarantee funding.

The Reentry: Returning Relatives team will contact you to hear your input about this support and how it is supporting you. If you do not want to be contacted, please let the team know.

If you have questions please email: josh@indigenousjustice.org

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