Kairos of Texas Prison Ministry
Bartlett #13 Closing Application
Persons under eighteen years of age can not be admitted
Approximately one week before Closing you will receive an email or letter explaining the information from our Registrar notifying you that you have been approved to attend the closing. IF YOU DO NOT RECEIVE NOTICE, YOU CAN NOT BE ADMITTED!
The Notice should give you a map and the time to be at the prison gate where you will then be escorted in as part of a group to the site within the Institution where the closing is to be held.
An incomplete application or one received after the deadline cannot be processed.
This will mean you will not be able to get in.
Please enter all information as it appears on you Driver's License!
Prefix Mr. Mrs. Miss. Ms. Dr. Rev Hon. First (on TDL) Last Suffix
Are you Clergy No Yes
Home Address
City State Zip
Day Phone Home Phone Cell
Email
Driver's Lic # DL State Date of Birth
I want to attend Closing at Bartlett #13 - 11/07/10 @ 2:45 No Yes
I attended Cursillo Did not Attend Emmaus Other Tres Dias Via de C No. DatePlace
(Cursillo, Emmaus, Via de Cristo, Tres Dias, etc.)
Have you attended TDCJ Volunteer Training /Orientation? . . No Yes
Are you an ex-offender? . .... No Yes
Are you related to or do you know any inmates in this unit (non Kairos)? . No Yes
Are you on a visitation list for any inmates in this Unit? .. No Yes
If yes their name (s) TDCJ#s
Their relationship (son, daughter, friend, fiancι, etc.): _______________________
I will read the Guidelines for Prisons that will be sent to me and abide with it. No Yes
I also understand that this will be checked for outstanding warrants.
Who referred you to this closing?
Signature Date:
Type your full name
