Program Enrollment Support

“Be transformed by the renewing of your mind...” Romans 12:2

Tell us a little about yourself so we can connect you to the right program and support your next step.

First name

Last name

Email

Phone

Who are you completing this form for? (Select all that apply)

Advocate / Organization

Family Member / Loved One

Myself

Where are you/they in this journey?

Which program(s) are you/they interested in? (Select all that apply)

Bridges Welcome Home Center

Emerge & Beyond (Life Application Program)

Reentry Support Services

TUMI – Cornerstone (In-Prison Leadership Program)

BSC TUMI Satellite / Capstone (Post-Release Leadership)

Workshop: Life Skills

Workshop: Employment Readiness

Workshop: Healing & Restoration

Not sure – I’d like guidance

Have you/they participated in any of the following? (Select all that apply)

AA / NA / recovery programs

Celebrate Recovery

Faith-based programs

Rehabilitative Programming / Self-Help

TUMI / Bible studies

I haven't found the right fit yet, but I'm trusting the journey.

Details, please & thank you.

I give Bridging Second Chances permission to contact me and my Family/Love One listed regarding program opportunities and support services.