2024 Project Restart Program Application
Please complete this form for the 2024 Project Restart program.  The tentative start date is 7/16/24 and will run as an evening weekly program from July through early October, 2024. Once you apply, you will be contacted close to the program start date for a virtual interview and instructions on next steps if chosen to participate.  We thank you for your interest.

To be eligible, you must reside in the Atlanta Metro Area, have a prior criminal conviction, be committed to completing the 12-week evening program and assignments.

Click here for program information www.projectrestartatl.org
Sign in to Google to save your progress. Learn more
Email *
2024
1. First Name *
2. Last Name *
3. Email Address *
4. Phone Number *
5. Mailing Address- Street Number and Name *
6. City
7. State *
8. Zip Code *
9. Age *
10. Gender *
11. Race/ Ethnicity *
12. Are you of Spanish, Hispanic, Latinx origin or descent? Select one. *
13. Are you a veteran? *
14. Are you disabled? *
15. What is the highest level of education you have completed? *
16. Are  you currently employed? *
17. What is your annual income level? *
18. Are you currently enrolled in an education or training program? *
19. Do you currently own a business? If you answer no, skip to question 23. *
20. Please share the name and a brief description of your business.
21. Including yourself, how many employees do you have? *
22. What is the annual revenue of your business? You can estimate. *
23. If you do not currently own a business, are you interested in starting your own business? *
24. Do you have past criminal charges? *
25. Were you ever incarcerated? If you answer no, skip to question 26. *
26. What is the name of facility or facilities you were incarcerated at? If more than one, please separate with commas. If you haven't been incarcerated, please skip to 27. *
27. What re-entry or legal issues are you currently facing? Select all that apply. *
Required
28. Are you currently on probation or parole? *
29. Please list any other reentry or entrepreneurship programs you have completed. Please separate with commas.
30. How would you rate your current credit score? *
31. Do you currently have stable housing? If you answered yes, skip to question 32. *
32. Are you currently facing housing challenges? *
33. Are you able to meet the time requirements of this program which will be primarily via zoom on Tuesday and Thursday evenings and a few in-person events? *
34.  Do you own a laptop or computer and have access to wifi? *
35. Please share a little bit about yourself with us! We'd love to learn where you're from, why you're interested in Project Restart, family status and anything else about your background that you're comfortable sharing. *
36. Do you give Project Restart permission to conduct a background check? To be eligible for the program, you must have criminal charges and/or incarceration in your past. You will not be disqualified due to criminal charges. *
Thank you for considering this opportunity.  We will reach out as soon as we've had a chance to review your responses.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms