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Crime Prevention Re-Entry Application
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First name
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Last name
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Email
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Phone
Birthday
Month
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Ethnicity
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Gender
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Female
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Current County you reside in
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Living Status
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Do you have children?
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Do you have healthcare?
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No
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Are you registered to vote?
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Have you ever been incarcerated?
Yes
No
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Do you have construction experience?
Yes
No
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What is your means of transportation?
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What is your highest level of education?
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Which 3 Construction Trades are you interested in?
Electrical
Plumbing
HVAC
Framing & Drywall
Flooring
Carpentry
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