Moral Reconation Therapytm (MRT) Training

Moral Reconation TherapyTM (MRT) Training

- 2016 Application–

March 6th-9th, 2017

Application forms will be accepted until January 16, 2017

Training Location: PACE, Inc.

(2855 N Keystone Ave., Suite 170, Indianapolis, IN 46218)

Submit to: Marion County Re-entry Coalition (MCRC)

Rhiannon Edwards

If selected to attend the training, you will be notified by February 6, 2017

(submission does not guarantee selection)

Who may submit an application: Community- and faith-based providers, as well as criminal justice professionals, who want to serve as MRT facilitators in Marion County, Indiana.

APPLICANT INFORMATION

NameClick here to enter text.

OrganizationClick here to enter text.

TitleClick here to enter text.

Contact information

EmailClick here to enter text.PhoneClick here to enter text.

INFORMATION SUMMARY

The aim is to develop a MRT continuum whereby participants have the chance to enroll in the intervention pre- and post-release. The following questions are included to help inform the selection process and assemble a diverse group of facilitators.

1. Describe the work you currently do (Include how long you have been in this position and a description of the population you serve, the services you directly provide, and the overall goal of your work with clients. Also, include any other responsibilities you have.)

1. Does your organization currently offer MRT? (If so, please describe when MRT groups are offered, how frequently, how many clients are typically served, etc.)

1. How do you think this MRT training will enhance your ability to serve clients?

1. MRT Workbooks are $25 per workbook. Would you be able to purchase these for the participants in your MRT group?

☐Yes

☐No

1. Does your agency have restrictions on serving certain criminal justice populations? If yes, please specify.

☐YesClick here to enter text.

☐No

1. Approximately, how many returning citizens does your agency serve on an annual basis?

1. If trained in MRT, would you be willing to facilitate a MRT session in a local criminal justice facility?

☐Yes

☐No

1. Can your agencyaccess an incarcerated or formerly incarcerated individual’s Indiana Risk Assessment System (IRAS) score?

☐Yes

☐No

DEMOGRAPHIC PROFILE

Sex

☐Male

☐Female

☐Other

☐Prefer not to answer

Race

☐African American or Black

☐Caucasian or White

☐Asian

☐American Indian or Alaska Native

☐Native Hawaiian or Other Pacific Islander

☐More than one race

☐Other

☐Prefer not to answer

Hispanic/Latino Ethnicity

☐Hispanic/Latino

☐Not Hispanic/Latino

Educational Attainment (check all that apply)

☐High School Diploma/GED

☐Some College

☐Associate’s Degree (please list degree)Click here to enter text.

☐Bachelor’s Degree (please list degree)Click here to enter text.

☐Graduate Degree (please list degree)Click here to enter text.

List any professional license(s) or certification(s) that you hold:

List any languages you speak (fluently) in addition to English:

I understand that, if selected, I am committing to:

☐Complete a memorandum of understanding

☐Attend the entire 4 day training (32 hours) which includes daily sessions and assignments

☐Begin facilitating a MRT group within the first six months of receiving the training

☐Participate in quarterly MRT peer sharing facilitator meetings

☐Collect outcome data and share it with the MCRC quarterly

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