Tell Your Story

	* Required information
First Name:	*
Last Name:	*
Address 1:
Address 2:
City:	State:
Zip/Postal Code:	*
Phone Number:
Fax number:
Other (pager, mobile, etc.)
E-mail address:	*

Did this story occur in Texas?	*
Is this your story or the story of a friend or family member?	*
What is the individual's name?	*
What is the individual's date of birth?	*
Was the individual incarcerated?	*
Was the individual put on probation?	*
If sentenced, what was the sentence for and how long was the sentence?
If sentenced, when did the sentence begin?
If sentenced, has the sentence ended?
If incarcerated, where was the individual incarcerated?
What was the individual's day job before the arrest, if any?
What was the individual's day job before the arrest, if any?
How long had the individual had the job, if any?
What were the individual's goals in life or hopes for the future before the arrest?
Did the individual have any significant accomplishments?
What community activities were the individual involved with (i.e. church, school)?
Does the individual have a spouse, children, or other dependents?
If children or dependents, where are they and how has this affected them?
If a spouse, where is he/she and how has this affected him/her?
If the individual has been released, what has the re-entry process been like?
If the individual has been released, is he/she employed?
If the individual has been released, does he/she have housing?
How has re-entry affected the family?
Any other impacts on the individual or his/her family?