Reentry Assistance Request

Request Reentry Housing Support

Please complete this form if you or someone you know is returning home from incarceration and needs help identifying housing, employment, family support, or reentry resources.

This Is The First Step

This form helps TLOGF understand your situation and identify what type of support or referral may be appropriate. Submitting this form does not guarantee housing, funding, or services, but it helps us begin the intake process.

Name *

Release Date

Current Housing Situation *

County *

Veteran? *

Children? *

Employment Status *

Phone *

Email *

Additional Notes

Submission of this form does not guarantee housing, funding, legal assistance, or direct services. Information submitted may be used by The Two Lives of Oscar Grant Foundation to evaluate potential referrals, reentry support needs, and future program development.