Below is our Online Reentry Assessment Form.

Please fill it out completely and click the submit button when you're done.

Your form will be sent to our Reentry Coordinator for review, and a staff member will be contacting you.

If you have any questions, call (713) 633-3733.

Freedom Church Ministries International

Re-Entry Assessment

* indicates required field

Personal Information

First Name:*

Last Name:*

Email:

Date of Birth:*

How many felonies do you have?*

TDCJ #:*

Date of release:*

Was your crime violent?*

Yes No

Was your crime sexual?*

Yes No

Probation / Parole Officer:

Parole / Probation Officer's Name:*

Officer's Phone Number:*

Officer's Street Address:*

City, State:*

Zip Code:*

If you are still incarcerated, complete this section.

Prison:

Prison Unit:

Prison Street Address:

City, State:

Zip Code:

Dorm #:

Bed #:

CAPTCHA Code:*

To request a form by mail click HERE.