Online Application

Thank you for your interest in Kingdom Towers. It is a place for men to commit to restoring their lives and their damaged relationships with family, friends, and the community.

We have resources to help you get a fresh start in living a productive, responsible life, including required meetings such as 12-step meetings and life skill programs. We also assist with necessary documents to obtain employment. We conduct spiritual training and support from selected Christian ministries.

Our rooms are $750 per month, fully furnished and all bills are paid.

To start the process, complete the application below.

Once we receive your completed application, and you have been approved by us, we will send you an a Acceptance Letter that you can turn into your Parole Officer to help speed up your release.

After you submit Kingdom Towers as your parole plan you will need to plan for the Program Fees which are $750 per month. If some type of arrangement has not been made, we cannot accept you into our program.

We look forward to working with you.

Your Name *

First

Last

Your Phone Number *

Your Email

Inmate Name *

First

Last

Date

TDCJ Unit *

TDCJ # *

SSN *

Date of Birth *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

How did you hear about Kingdom Towers?

This application for Kingdom Towers is in four parts and includes a program agreement. Each part of the application must be filled out completely. Your application may be under review for an undetermined period before you get a final answer.

I. Biography

Family: Parents (if living):

Spouse:

Children/Ages:

Family Address: (Spouse or Parents)

Education (Highest Obtained): *

TDCJ Education/Certifications: *

TDCJ Work Experience: *

Outside Work Experience: *

Describe your childhood and relationships with your spouse and/or children. *

II. Incarceration History

Current Offense: *

Term of Sentence: *

Time Served: *

Date of Next Parole Hearing: *

Earliest Expected Release Date: *

Additional offenses, sentences, and time served *

List additional offenses, sentences, and time served you have received and describe the circumstances surrounding EACH offense. Are you a registered sex offender and if so, did it involve a minor? (We can house former sex offenders if their crime did not involve a minor).

How do you view your offense? *

What have you learned from incarceration, and how can you ensure you will not repeat the same behavior? *

III. Personal Development, Motivation and Life Goals

What specific steps have you personally taken while incarcerated to help ensure you will not return to prison (including courses you have taken)? *

Why do you want to reside at Kingdom Towers? *

Where do you see yourself in 6 months? *

Where do you see yourself in 1 year? *

Where do you see yourself in 5 years? *

IV. Medical History

Have you ever received SSI/Disability from the Government? If so for what? *

Have you/will you receive VA benefits from the Military? If so for what? *

Are you under continued medical care for any chronic physical illness/disability? If so, please explain the conditions and limitations: *

Have you been, or are you currently under the treatment of MHMR? If so, please explain diagnosis, conditions/limitations: *

Do you have a history of addiction to drugs or alcohol? *

If yes, please elaborate: *

Do you currently take any medications? If so, please list: *

Your medical history is important for us to understand the care and attention that is needed while you are a resident at Kingdom Towers. Your medical information is kept confidential and is used only for obtaining the proper care necessary while here. Medical/ MHMR conditions DO NOT automatically disqualify you from acceptance to Kingdom Towers.

Kingdom Towers is a residential transition program operated under, and emphasizing, Christian principles. Our mission is to offer a safe, sober, wholesome environment in which men can learn to love and care for each other, serve one another and the community, and commit to restoring their lives, and restoring relationships with family, friends and their community.

Upon arrival we will assist residents with obtaining clothing, social services and securing employment. In return, we expect residents to abide by the House Rules in the attached Program Agreement. Your signature below indicates that you will abide by the requirements of Kingdom Towers set out in the Program Agreement attached, as well as any other rules and regulations that may be required upon acceptance.

If you are in the United States, from another country, and you do not have in your possession a stamped Social Security Card with an Employment Authorization Card or a Green Card, we will not be able to accept you into Kingdom Towers.

Upon acceptance as a resident of Kingdom Towers, I agree to place myself under the authority and leadership of the Board of Directors and staff. As such, I agree to abide by all the rules and regulations of the Program Agreement attached and to submit to those in authority over me.

Type Name for Signature *

Date Signed *