Haley House ATR Referral, Training Program, Men's Group, One-on-One Counseling
Please fill out the following questionnaire to help us assist you. Someone will be in contact with you in a timely manner. Thank you for your interest in Haley House
Agency and Contact Person Making Referral
Please state your purpose of this request and include any information you feel is important.
Have you been released from confinement within the last 2 years? If so when and where?
Do you currently reside in a halfway house or community release program? Which one and when is your projected release
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