Kairos of Texas Prison Ministry
Bartlett Unit #14 Closing Application
Persons under eighteen years of age can not be admitted
Approximately one week before Closing you will receive an email or letter explaining the information from Kairos Prison Ministry Registrar working with the Institution you have chosen to attend a Kairos closing.
This information will give you a map and the time to be at the prison gate where you will then be escorted as part of a group to the site within the Institution where the closing is to be held.
An incomplete application received after the deadline cannot be processed.
This will mean you will not be able to get in.
Prefix _____ First (on TDL) _______________Middle ______ Last (on TDL) __________________________ Suffix _____ (L) (C)
Home Address _________________________________________________________________________________________
City ______________________________________________ State _________________________ Zip __________________
Day Phone (_______) _________________ Eve Phone (_______) ______________________ Cell _______________________
Email _____________________________________________
TDL# _______________________________________ SS# ____________________________ Date of Birth ________________
I want to attend the Closing at Bartlett # 14 on 09/11/05 @ 2:30 PM_____
I attended _____________________ No. ____ Date: _________ Place _____________
(Cursillo, Emmaus, Via de Cristo, Tres Dias, etc.)
Have you attended TDCJ Volunteer Training /Orientation? . .Yes ___ No ___
Are you an ex-offender? . ....Yes ___ No ___
Are you related to or do you know any inmates in this unit (other that Kairos)? . ......Yes ___ No ___
Are you on a visitation list for any inmates in this Unit? ...Yes ___ No ___
If yes their name (s) ______________________________ TDCJ#s ___________________
Their relationship (son, daughter, friend, fiancι, etc.): _______________________________
I will read the Guidelines for Prisons that will be sent to me either via email or letter and abide with it.
I also understand that this will be checked for outstanding warrants.
Signature _____________________________ Date: ____________________________
Send this completed Application to:
(Must be received (2) Two WEEKS PRIOR to the closing date)
Garry Sjolander
5109 Gate Dancer
Pflugerville, Tx 78660
Email: glsjolander@mmm.com
Note: A team application is not required for a Kairos Outside closing, just show up.