Comprehensive 60-Day Pre-Release Assessment
TCBIN Institutional Leadership Academy
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1. Identification
2. Release Destination
3. Housing Risk
4. Employment
5. Family & Support
6. Legal Conditions
7. Transportation
8. Education
9. Health & Wellness
10. Financial
11. Readiness Score
12. Housing Eligibility
13. Review & Submit
Section 1: Identification
Full Legal Name
*
Email Address
*
Phone Number
*
DC Number
*
Institution
Dorm / Housing Assignment
Date of Birth
Age
Release Date
*
County of Release
State of Release
Classification Officer
Release Officer
Probation Officer
Community Control
Race
Black / African American
White / Caucasian
Hispanic / Latino
Asian
Native American
Pacific Islander
Two or More Races
Other
Prefer Not to Answer
Gender
Male
Female
Transgender Male
Transgender Female
Non-Binary
Other
Prefer Not to Answer
Ethnicity (e.g. Hispanic, Non-Hispanic)
Sex Offender Registration Required?
Yes
No
Social Security Number Available?
Yes
No
Veteran Status
Driver License Status
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