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Returning Citizen Registration
* required fields
Last Name *
First Name *
Middle Initial
Preferred Name (Required)
Gender *
Please Select a Gender
Male
Female
Date of Birth *
User name (you can use your Prison Id #. Minimum of 4 characters. No blank spaces, please.) *
Prison ID # (If none, list your county of incarceration and jail ID #)
Password (4 characters min) *
Confirm Password *
Email for when you are on the outside
Please select the state you are incarcerated in. *
(Or "Federal" if a federal prison)
Not Currently Incarcerated
Federal
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Release Address
If unknown, list your best guess of the zip code where you will be released
Street Address
City *
State *
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
List any reliable phone number(s) where you can be reached on outside, if any (maximum 3)
Projected Release Date*
(If not currently incarcerated, enter today's date)
Will you be under community supervision(parole/probation) upon release? *
Please select an option
Yes
No
No answer/Unsure
These questions are optional.
Some services and programs may not be available for those with a conviction for a violent or sexual crime. In order to better match you with appropriate service providers and save you frustration, please indicate your answers to the following.
Have you ever been convicted of a violent offense?
Please select an option
Yes
No
Prefer not to answer
Have you ever been convicted of a sexual offense?
Please select an option
Yes
No
Prefer not to answer
Education
Check highest grade available
Elementary
Some High School
Graduated High School
GED
Some College
College Degree
What services are you interested in upon release?
Select all that apply
Shelters & Housing
Support Groups (peer, family, etc.)
Multiservice Agencies (counseling, food, clothing, etc)
Churches and Ministries
Substance Abuse Treatment & Recovery
Health Care
Legal Matters
Employment and Job Training
Education
Is there anything that you’d like service providers to know about you?
STAFF USE ONLY
(Not visible to public. Only visible to ION staff.)
I agree to share my profile information with service providers in my area. *
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