Name of organization: Name of contact person: Job title of contact

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Name of organization:
Name of contact person:
Job title of contact:
Phone number of contact:
Email address of contact:
Religion/denomination:
Organization mailing address:
Does your organization currently assist formerly incarcerated people?
[ ] Yes, frequently
[ ] Yes, occasionally
[ ] No
What services does your organization provide to formerly incarcerated people?

Food Services (Food Pantry or Soup Kitchen)

Clothes Closet

Alcoholics Anonymous/Narcotics Anonymous

Spiritual Counseling

Mentoring Program

Youth Programs

Family Intervention Programs

Housing

Employment/Education/Vocational Training

Healthcare Services

Prison Ministry
What have your experiences been like with formerly incarcerated individuals?
Would you be interested in joining the New Haven Reentry Roundtable Faith Based
Committee?
[ ] Yes
[ ] Not sure, but please add me to your email list
[ ] No
Do you have any comments for us?
Send
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