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1. What is the nature of this inquiry? |
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a. Is this to get or give information? |
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If so, please explain. |
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b. Is this to request help in some way? |
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If so, how can we best be of help? |
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c. Is there some other purpose for this request? |
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If so, please explain. |
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If so, how can we best be of help? |
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2. Is this request for someone who is currently in jail or prison (including yourself)? If this request is for someone who is in jail or prison please answer the following questions. |
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a. Where is that jail or prison located? |
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b. What is the name of that institution? |
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c. What is the expected date of release? |
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d. Does this person currently have a mentor? |
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e. Does this person have some one or some group helping this person prepare for release? |
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f. Is there some other information you think might be of help? |
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3.Is this is a request for direct help (food, clothing, housing, job, transportation, church) for someone in jail or prison who is soon to be or recently released? If so, please explain. |
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a. Is this for you personally? |
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b. Is this for a family member? |
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What is the relationship to you? |
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c. Is this for a friend or other aquaintenance? |
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d. How willing do you believe this person is to accept help and work to change his/her life? |
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e. If you don't mind sharing this information, does this person have a faith-tradition, that is, do they have a religion they follow or believe in? |
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If so, please explain as best you can. |
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4. Where are you located? |
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a. City/State |
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b. Country |
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5. What is your name? |
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6. How would you like us to contact you? |
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a. Telephone; What is your phone number? |
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b. E-mail; What is your e-mail address? |
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c. Some other way; Please specify. |