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Nolef Turns After Care Intake Application

This application is confidential. Please complete honestly and accurately so that we can provide the best services for you. Please note that we will try to accommodate your requests but do not guarantee results.

Please read this first before submitting this application.*

This application is for individuals who have been convicted of a felony in the state of Virginia and/or have been released from a Virginia Department of Corrections or Federal Bureau of Prisons facility longer than 12 months ago. 

If you are currently incarcerated in a Virginia DOC or BOP facility (or are completing on behalf of an individual who is incarcerated), please complete the Pre-Release intake application. 

If you only need assistance with voter registration, restoration of rights, or miscellaneous services, please complete the Special Programs application. 

For referrals, please complete a Community Partner application prior to submitting your first referral application. 

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Prefix
First Name
Last Name
Suffix
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Please provide an email for professional contacts.

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(mm/dd/yyyy)
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Please list your identification number found on your Medicaid or Medicaid HMO card. Leave blank if you do not have Medicaid.

Please list your identification number found on your state-issued ID or license with expiration and issue dates. Leave blank if you do not have a state issued ID.
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Please list the issue date on your state issued ID
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Please list the expiration date on your state issued ID

Please list your most recent resume, if available.
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Please accurately list all city, county, and/or federal court(s) of conviction, along with all felony charges. If you do not list all convictions, services cannot be provided.
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Please list your most recent release date. If you were sentenced to probation, please list your date of conviction.
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Please accurately list any pending charges along with city, county and/or federal courts where pending. List upcoming court dates, if applicable.
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Please include all income sources (employment, TANF, SSI, retirement, pension, savings, etc.)
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Please select all current sources of income. This will better determine placement and eligibility in certain programs.
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Please list complete address and position.
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Please list brief work experience and/or skills. List dates of employment, supervisor's name, and specific location. Include apprenticeship, trade certifications and volunteer work.
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Please be specific.

(CSB, CPS, Stabilization, Judiciary, DSS or other mental health (please list names and contact information))
Our Advocacy team trains individuals to engage with legislators, other community members, and works towards policy changes that break down mass incarceration and all of the barriers that accompany a felony conviction.
Our Media team speaks to journalists about various topics around justice involvement. We believe in centering directly impacted individuals and allowing you to self-advocate for the changes you want to see.
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By signing this form, you give permission to communicate with others on your behalf regarding the services requested. You acknowledge that Nolef Turns does not offer legal advice and we cannot guarantee results for each participant.
Please send completed application, consent forms and a copy of your resume (if available) to:
 
Nolef Turns Inc.
Attn: After Care Intake Application
211 N. 18th Street
Richmond, VA 23223-6905
or email to: