Welcome Home to Prince George’s Registration Form

Welcome Home to Prince George’s Registration Form

The Welcome Home to Prince George's empowers formally incarcerated men and women with tuition-free certification training, stipends, and supportive services. Classes start Feb. 24th. Register to attend a Mandatory Information Session at Prince George's Community College Skill Trades Center 6400 Old Branch Ave Temple Hills, MD.

Estimated Date of Release from Incarceration*

To qualify, you must have been released within the past 18 months. Enter your release date to verify eligibility.

First Name*

Last Name *

Date of Birth*

You must be at least 18 years old to qualify.

Email *

Provide a valid email address where we can contact you regarding program updates and session details.

Phone Number *

Enter your phone number, including the area code. This will help us reach you for reminders and important updates.

Phone

How did you hear about us?*

RCAD Partner Organization

Facebook

Instagram

Family/Friend

Flyer

Community Event

Other

If 'Other,' please specify:

What type of identification do you have?

Select or enter value

What type of proof of Prince George’s County residency can you provide?

Select or enter value

What type of verification of citizenship can you provide?

Select or enter value

What type of proof of Social Security number can you provide?

Select or enter value

If you have one or more of the documents listed above, please upload the corresponding files below.

Drag and drop files here or

Are you registered with the Prince Georges County Virtual Career Center?*

The Prince George's County Virtual Career Center connects you with additional resources for job training and placement.

If you’re not registered, visit www.pgccareers.com to complete your registration.

Yes

Send me a copy of my responses

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