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City

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Questionnaire

Name it appears on your Driver's License or ID

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Driver's License # (last 4 digits)

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State of issued ID/DL

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Social Security # (last 4 digits)

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Date of Birth

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Current Employer

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Position

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Industry Experience

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Education Level

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College or University

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How did you hear about EWOP?

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Why are you interested in being involved with EWOP?

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Describe any previous experience you've had

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T-Shirt size

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Dietary restrictions

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Do you know someone or have a relationship with anyone currently incarcerated in the Texas Department of Criminal Justice?

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If yes, what is the person's name?

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Where are they currently house?

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What is the relationship?

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Have you ever been incarcerated in the Texas prison system?

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Release date, if previously incarcerated

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Unit name, if previously incarcerated

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TDCJ #, if previously incarcerated

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Are you currently on Parole?

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Are you TDCJ trained?

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TDCJ volunteer training completion date if already a trained volunteer

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