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WRAP+ Online Screening & Application Form
Sections 1-2 are required for all persons booked into the Winona County Jail. Others wishing to apply for the WRAP+ (Winona County Re-Entry Assistance Program) must also complete these screenings.
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* Indicates required question
Personal Information (6 questions)
These questions can be pre-completed by jail personnel or a person assisting the applicant with these forms.
First Name
*
Your answer
Middle Name
*
If you have no middle name, type NMN (for "no middle name")
Your answer
Last Name
*
Your answer
Date of Birth (MM/DD/YY)
*
Your answer
Gender Identification
*
Male
Female
Required
Ever in Military?
*
Yes
No
Required
Ethnicity
Hispanic
Non-Hispanic
I don't know
Race
*
White
Black
American Indian or Alaskan Native
Asian or Pacific Islander
Multi-Racial
Required
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