Application form for participation in the Halfway House project

If you find yourself in difficult circumstances and need assistance from professionals (social workers, psychologists, lawyers and others), if you want to meet interesting people, find friends and start a new and productive life, and if you are willing to participate in our project after imprisonment, please complete this form or rewrite it on any piece of paper and send it to us.

The information you provide will enable us to help you:

Send the completed application form to:

Halfway House Centre

13/1 Dzerzhynskogo Str.

Krasnopavlivka village

Lozova district

Kharkiv Region


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