Client enrollment — HOPE For Everybody

Create client account

Password

At least 8 characters.

Confirm password

About you

First name *

Last name *

Date of birth *

Social Security number *

Male / Female / Other *

Male

Female

Other

Current housing situation *

Address

Address *

Address 2 (optional)

City *

County *

State *

Limited to Texas at this time — will expand to other regions.

Zip *

Phone, email & links

Phone (optional)

Email (optional)

Social media link (optional)

Website links (optional)

Images

Profile pic (optional)

Header image (optional)

This may be the only place in the world where your current struggles and criminal history will help you. Many non-profit organizations and even for-profit companies have been established to serve the needs of those with specific past issues. Remember, your answers will be checked and dishonesty may result in the help you are seeking being declined. So, please, be honest!

Criminal history

Are you a convicted felon? *

Yes

Probation & parole

Are you currently on probation or parole? *

Probation

Parole

Both

Sex-offender registry

Are you now or have you ever been required to register on the sex-offender registry? *

Yes

Completed treatment program

Have you ever successfully completed a sex-offender treatment program? *

Yes

Current treatment program

Are you currently in a sex-offender treatment program? *

Yes

N/A

Current needs survey

Check all that apply — you may select multiple.

What are your greatest needs now?

Other (enter a suggestion)

SuperAdmin can see frequently suggested categories and approve/disapprove accordingly.

Upload your resume

Resume (optional)

Clients