Homecoming Project Host Application Form

Thank you so much for your interest in becoming a host for the Homecoming Project! Before filling out your application, please ensure you’ve reviewed the Program Overview and FAQ on our website.

A member of the Homecoming Project team will reach out to you shortly after you submit your application for next steps and to schedule an interview.

Have more questions? Reach us at homecomingproject@impactjustice.org

* Indicates required question

Host Information

First Name

Last Name

Phone Number

My Address: Street

City

State

Zip

Country

Email

What county is your property in?

Los Angeles Region

East Los Angeles

South Los Angeles

South Bay OtherEast Los Angeles - Artesia, Bell, Bellflower, Bell Gardens, Cerritos, City of Commerce, City Terrace, Cudahy, Downey, East Los Angeles, Hawaiian Gardens, Huntington Park, La Habra Heights, Lakewood, La Mirada, Los Nietos, Maywood, Montebello, Norwalk, Pico Rivera, Santa Fe Springs, Signal Hill, South Gate, Vernon, Walnut Park, Whittier.
South Los Angeles - Athens, Compton, Crenshaw, Florence, Hyde Park, Lynwood, Paramount, and Watts.
South Bay - Athens, Avalon, Carson, Catalina Island, El Segundo, Gardena, Harbor City, Hawthorne, Inglewood, Lawndale, Lennox, Long Beach, Hermosa Beach, Manhattan Beach, Palos Verdes Estates, Rancho Dominguez, Rancho Palos Verdes, Redondo Beach, Rolling Hills, Rolling Hills Estates, San Pedro, Torrance, Wilmington, and others.

Page 2

Host & Participant History

What is you preferred participant's first name

What is your preferred participant's last name?

Preferred Participant's Phone Number

Preferred Participant's Email

What is your relationship to the preferred participant?

Have you ever lived together before?

YesNo

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Due Diligence Process

Research continues to underscore that individuals coming home from incarceration often experienced trauma and violence prior to and/or during their carceral experience. To foster an environment that is mutually supportive and safe for hosts and participants, we conduct a due diligence process that includes background checks for hosts and anyone over the age of 18 who resides in the home. While most previous convictions do not disqualify someone from hosting a Homecoming Project participant, individuals who have been convicted of a sex offense are disqualified from hosting. An individual may also be disqualified if they reside with someone who is 18 years or older who has a prior sex offense conviction. More information about our background check process will be shared with you once you move forward to the next steps of the process.

Your approval to host with The Homecoming Project is contingent on completing a background check. Are you willing to complete a background check?

YesNo

Have you ever been convicted of a sex offense?

YesNo

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Specific Conditions of Parole Info & Questions

Under some circumstances, as a condition of parole the State of California, the local County, or local municipality, may impose additional, Special Parole Conditions upon a parolee.

See examples of special conditions of parole here. Some examples to highlight:

Alcohol: cannot consume, possess, or have access to alcoholic beverages, liquors, or over-the-counter medications that contain alcohol (e.g. Nyquil)
Narcotics: shall not use, possess, distribute any narcotic or controlled substance as defined by law or any paraphernalia related to such substances without a valid prescription
Residence: shall not reside in places where vicious or potentially dangerous animals impede access, pose a danger or interfere with parole supervision

Depending on your match’s parole conditions, the use of substances including alcohol and marijuana (medicinal or recreational) may be prohibited. In this case, the host could not have alcohol or marijuana in his/her home either. If substances are found in the home by parole and/or law enforcement, this may violate your participant’s parole requirements and potentially send them back to prison if parole is revoked. We appreciate your honesty and attention to the following important questions.

Please state whether you would be willing to accept a Participant upon whom special conditions of parole have been imposed:

Yes, I am willing to accept a participant who may have special conditions of parole

No, I am not willing to accept a participant who may have special conditions of parole

Please state whether you would be willing to accept a Participant upon whom a

marijuana and/or alcohol prohibition has been imposed as a condition of parole:
Check all that apply

Yes, I would be willing to accept a Participant with a marijuana prohibition

Yes, I would be willing to accept a Participant with an alcohol prohibition

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A note on property conditions, variances, circumstances

Impact Justice reserves the right to terminate the housing arrangement at their discretion at any time. The program terms and conditions are subject to change. Impact Justice must conduct an inspection of the premises before agreeing to accept you as a host. If you know of any dangerous conditions that exist on your property, please fix or remediate them before you submit this application.

Please identify any conditions within or around the home, variances granted, or

other circumstances regarding the property of which you think the Participant

and/or Impact Justice should be aware:

Do you have a dog or any other pet(s)?

YesNo

If so, please list the kind(s) of animal(s) and please note any specifics about their temperament(s):

Did you review the official documents required to participate as a host in the program?

Host Application Information

Yes, I reviewed the Host Application WebpageNo, I have not yet reviewed the Host Application Webpage

I acknowledge that I am either the:

THE HOMECOMING PROJECT ELIGIBILITY SCREENING NOTICE

The Homecoming Project (HP) prohibits individuals with a conviction for any sexual offense from serving as hosts or participants in HP activities and events.

While we do not have access to exhaustive lifetime criminal conviction histories from all states, we are committed to safety and transparency. To better understand the criminal conviction history of prospective hosts and participants, HP utilizes the following screening and disclosure processes:

Hosts and Participants Actions:

Self-disclosure. At the time of your application, you must certify that you have no prior convictions for any offense that is or could reasonably be considered sexual in nature. You will be asked to certify this again during your interview with Homecoming Project staff.

Documentation (participants only). Participants must provide relevant records from the California Department of Corrections and Rehabilitation (CDCR), or the corresponding department of corrections in the state where they were incarcerated, confirming their criminal conviction history.

Authorization. You will be asked to sign a separate written authorization permitting the Homecoming Project to conduct a background check. That document will explain your rights under the federal Fair Credit Reporting Act (FCRA) and applicable California law.

Impact Justice Takes Actions:

Criminal background check. The Homecoming Project will review criminal history records covering the preceding seven (7) years, to the extent permitted by federal, state, and local law, through our consumer reporting agency, Checkr.

Sex offender registry search. The Homecoming Project will check all applicants against the National Sex Offender Public Website (NSOPW) and applicable state sex offender registries, regardless of the date of any conviction.

Identity verification. The Homecoming Project will verify the identity of all hosts and participants before approval.

Ongoing monitoring. Approved hosts and participants may be subject to periodic re-screening during their time in the program.

Please sign (type) your name acknowledging that all information provided on this

application is true and complete to the best of your knowledge: