Green ReEntry Application - IMAN Atlanta
The Green ReEntry program provides support to formerly incarcerated individuals (18-45 years old), as well as under-served youth between 18-25 years old, facing barriers to employment through vocational and life skills training.
Full Name *
Date of Birth *
Phone Number *
Mailing Address *
Email Address
Which category are you in? *
Required
If formerly incarcerated, how long were you incarcerated?
What was your date of release?
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Please list any charges or convictions you have had.
Reference Name *
Reference Contact Info *
Describe your work history (if any). *
Why are you interested in the program? *
What are your future goals? *
What things are holding you back from reaching your goals?
What do you feel are some potential threats that may prevent you from achieving your goals?
Please list any skills that you currently have.
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