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    Rebuild & Rise participant interest

    Rebuild & Rise

    Participant Interest Form

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    Rebuild & Rise Participant Interest Form

    Rebuild & Rise helps individuals prepare for a successful return to the community through education, job-readiness preparation, reentry planning, resource coordination, and supportive community connections.

    Tell us a little about yourself and the support you are looking for. A member of the Rebuild & Rise team will review your information and contact you about possible next steps.

    Contact Information

    Your Current Situation

    Release / Transition Timeline

    What Support Are You Looking For?

    What areas of support would be most helpful to you?

    Employment Interest

    Immediate Practical Needs

    Are you currently looking for assistance with any of the following?(optional)

    Referral Information

    Additional Information

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