PDF ReCApplication 2008 update with new address .pdf

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Original filename: PDF ReCApplication-2008 update with new address.pdf
Title: Microsoft Word - LC2-ReCApplication-2008.doc
Author: Carlo Longo

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AN ADVOCACY AND LEADERSHIP
TRAINING PROGRAM FOR
FORMERLY INCARCERATED WOMEN
Please fill out this application and mail it to:
Andrea B. Williams
Program Director, RECONNECT
Women in Prison Project
The Correctional Association of New York
2090 Adam Clayton Powell Boulevard, Suite 200A
New York, NY 10027
You can also fax it to (212) 473-2807
If you have any questions, please call (212) 254-5700, x338

APPLICATION
You must answer each question
Full Name
Address

City

Telephone

State

Zip

Cellphone (or alternate number)

Tell us the best time to reach you or to leave a message

What is the highest grade you have finished? (check one)
Some High School 
High School 
Some College 
College 
Trade School 
Have you taken any training programs (like computers, cosmetology, cooking) or been to college?

Post Graduate 

Describe yourself. For example, are you outgoing, quiet, creative, organized, curious, a go-getter?

Are you are currently enrolled in other programs? Please list them. (You can attach additional sheets, if needed)

Have you ever wanted to change anything in your community? What did you want to change? How would you go about changing it?

What are the most important issues in your life?
What are the most important issues in your community?
Have you ever been a leader? How? What was good about your experience? What was hard about it?

What are your best qualities?
What do you think are the most important qualities a leader needs?

What do you expect to get from RECONNECT?
How did you hear about RECONNECT?
How long ago did you return home?

Are you on parole? Yes 

No 

The RECONNECT classes are held once a week from 3:30PM - 6:30PM for 12 –14 weeks.
Will you be able to attend all of the classes? Yes  No 

Are you on probation? Yes 

No 


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