Release Plan Questionnaire
Release Plan Questionnaire
Personal Information
Name
Name
First
First
Last
Last
Age
Gender
Yes
No
Ethnicity
Marital Status
Single
Married
Divorced
Address
Address
Line 1
Line 1
Line 2
Line 2
City
City
State/Province
State/Province
Zip/Postal
Zip/Postal
Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Côte d'Ivoire
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Criminal History
Offense(s) committed
Length of incarceration
Prior convictions
Probation/parole history
Educational Background
Highest level of education completed
Vocational training or certifications obtained
Literacy level
Employment History
Past employment
Skills or trades learned
Plans for future employment
Current job prospects or employment secured for release
Type of work or industry preferred
Willingness to participate in job training or vocational programs
Family and Social Support
Family relationships
Select One Option
Spouse
Children
Parents
Support system outside of family
Select One Option
Friends
Mentors
Housing arrangements upon release
Substance Abuse and Mental Health
History of substance abuse
Participation in treatment programs
Mental health history and current status
Health and Medical Needs
Chronic illnesses or disabilities
Medication requirements
Access to healthcare post-release
Risk Factors and Protective Factors
Previous involvement in criminal activity
Attitudes towards authority and rules
Reentry Goals and Plans
Short-term goals
Finding housing
Employment
Long-term goals
Maintaining sobriety
Further education
Specific steps planned to achieve these goals
Substance abuse treatment programs
Counseling or therapy
Option 1
Job training or placement assistance
Job training
Placement assistance
Substance abuse treatment programs
Mental Health Services
Barriers to Reentry
Lack of identification documents
Limited access to transportation
Stigma or discrimination
Stigma
Discrimination
Community Support and Resources
Awareness of community resources
Job placement agencies
Support groups
Connections to faith-based organizations or community centers
Legal Obligations and Restrictions:
Any outstanding legal obligations:
Court fines
Restitution
Understanding of parole or probation requirements:
Coping Skills and Conflict Resolution:
Strategies for managing stress and avoiding conflict:
Previous experience with anger management or conflict resolution programs:
Financial Management:
Budgeting skills and financial literacy:
Plans for managing money post-release:
Personal Values and Motivation:
Reflection on personal values and goals:
Sources of motivation for positive change:
Cultural and Identity Factors:
Cultural background and traditions:
How cultural identity may impact reentry and integration:
Peer Relationships and Peer Pressure:
Influence of peers on behavior and decision-making:
Plans for selecting positive social circles post-release:
Housing and Transitional Arrangements:
Plan for housing upon release:
If unsure about housing, willingness to consider halfway house placement:
Any support needed for securing stable housing:
Draft my Release Plan from (INPUT YOUR FEDERAL FACILITY HERE)
Draft my Release Plan from (INPUT YOUR FEDERAL FACILITY HERE)
Prompt
Using the information provided in the questionnaire, draft a release Plan for a federal inmate address BOP policy and Federal law. The argument should include the following elements from the sample and a thorough complement of information to support the request. The document should be written in the first person not the third using the first name. Sample: RELEASE PLAN Inmate's Full Name: Tyrone Doe Inmate Number: 54312-668 Correctional Facility Name: Name Federal Prison Camp Introduction Tyrone Doe, a 54-year-old African American male, is respectfully requesting consideration for transfer based on his successful rehabilitation, low needs, low custody status, nonviolent history, readiness to reintegrate into society and after the application of accured First Step Act time credits, Second Chance Act and Good Conduct Time. As of October 9, 2024, this request is ripe as it comes 21 months before such consideration will be made based upon the application of current laws and Bureau of Prisons policy (5100.08). At Implementation of this request (July 13, 2026), John will have served 68 months of his 130-month sentence for money laundering, tax evasion, and lying to law enforcement. He has no prior convictions and has demonstrated a commitment to personal improvement and community service during his incarceration. BOP Analysis: Since, the BOP has outlined several programs to facilitate the successful reentry of inmates into society, including Residential Reentry Centers (RRCs), Day Reporting Centers (DRCs), and Federal Location Monitoring (FLM), Tyrone is seeking to apply these program toward his reentry. Eligibility for Reentry Programs: - Residential Reentry Centers (RRCs): At the point of submitting this request for transfer, Tyrone has received FTC toward a statutory release date of January 2029. He will have earned additional FTC’s to be applied toward RRC/HC. He is additionally seeking 6 months of RRC placement from Second Chance Act of which the Bureau can place Tyrone up to 12 months (7310.04). Tyrone additionally, is eligible for placement in Home Confinement (HC) for the final 10 percent or 6 months whichever is the lesser. With the application of the Bureau’s policy and calculations Tyrone can be transferred to RRC on July 13, 2026. The transfer would support the Bureau's goals and policies; he will receive support in securing employment, housing, and counseling services. This transitional housing will provide a structured environment, which is crucial given his current homeless status upon release along with the training into a new career at age 57 which in itself is a huge hurdle to overcome at reentry. - Federal Location Monitoring (FLM) combined with Day Reporting Centers (DRCs): Due to his non-violent criminal history Tyrone may also qualify for FLM. After 6 months at RRC and obtaining employment Tyrone could live at home with electronic monitoring, reducing the burden on institutional resources while ensuring community safety. DRC would support his transition to independent living while maintaining accountability. Case Factors 1. Educational and Vocational Achievements: - Tyrone has completed several certifications, including Landscape Technician, Horticulture Science, and Greenhouse Management, among others. These qualifications demonstrate his commitment to self-improvement and his readiness to contribute positively to society. 2. Employment Prospects: - Tyrone has plans to volunteer with the Deaf Community Service in San Diego and has expressed a willingness to work in various fields. His goal to obtain training in commercial transportation and logistics (2 years of course work) further reflects his proactive approach to securing long-term employment. 3. Family and Social Support: - Tyrone has a supportive family, including his wife, daughter, and elderly parents. Although he faces housing challenges, his family ties provide a strong support network essential for successful reentry. 4. Health and Medical Needs: - Tyrone suffers from chronic high blood pressure and has two autoimmune disorders, which necessitate ongoing medical care. The BOP and Medi-Cal can ensure he receives the necessary treatment post-release. 5. Reentry Goals: - Tyrone’s short-term goals include securing stable housing and employment, while his long-term objectives involve obtaining training for a career in logistics . These plans are realistic and achievable with the support of reentry programs. Conclusion Tyrone Doe has demonstrated through his educational achievements and vocational training, he is prepared for reentry into society. His participation in reentry programs, such as RRCs, FLM, or DRCs, will support his transition, reduce the risk of recidivism, and allow him to contribute positively to his community. Therefore, it is respectfully requested that you consider Tyrone eligibility for granting him the opportunity to participate in these reentry programs, thereby facilitating his reintegration into society as a productive and law-abiding citizen.
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