Self Referral Form - Goodwill Re-entry Navigation

Thank you for your interest in the Goodwill Re-entry Navigator Program. This program is FREE for individuals who meet the following criteria:

  • Must have criminal justice involvement; 
  • Must reside in Winnebago County; 
  • Must be 18 years of age or older. 
The Navigator program provides one-on-one support for individuals who struggle with barriers during their reentry experience.

Please complete this form and one of our navigators will contact you to schedule an intake meeting. 

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Your name  *
Your email address  *
Your contact phone number  *
Your preferred method of communication  *
Your IDOC#/MID# (if you know it)  *
Have you  had a Risk and needs assessment done recently? If yes, do you know your score? 

(If no, that is okay. We can help you do this assessment later.)
 *
Do you have any of the following court Orders/Parole Board Orders? Check all that apply.  *
Required
Are you currently referred to IDOC Day Reporting Center (DRC) for services?  *
Required
Have you been referred to Winnebago County Resource Intervention Center (RIC) for Services?  *
Please check the areas you would like assistance in. (Click all that apply) *
Required
Please share any comments or notes.  *
Thank you for sharing this information. We will contact you with any questions and will reach out to the participant within 2 business days. 
If you have questions, please contact us at Programs@goodwillni.org or 815-965-3795.
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