Prison Reform Reentry Employment Specialist Application

Prison Reform Reentry Employment Specialist Application — Form Fields

This applications template includes 9 fields. Apply for an employment specialist role supporting formerly incarcerated individuals with job placement. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Email (email, required)
• Phone Number (text, required)
• Education Level (dropdown selection, required) — options: High School, Associate's, Bachelor's, Master's, Doctorate
• Relevant Degree Field (dropdown selection, required) — options: Social Work, Criminal Justice, Psychology, Counseling, Human Services, Business, Other
• Years in Workforce Development or Social Services (number, required)
• Personal or Professional Connection to Justice-Impacted Individuals? (multiple choice, required) — options: Yes, No
• Skills (checkboxes, optional) — options: Job Coaching, Resume Writing, Employer Outreach, Case Management, Crisis Intervention, Trauma-Informed Care
• Why Are You Passionate About Reentry Work? (long text, required)