Second Chance Fund Incentive Application

Students that have accumulated court costs, fines, and restitution may earn financial incentives for specific program participation and competency completion. Students are required to complete the application process, prior to programming.

First Name:

Middle Initial:

Last Name:

Date of Birth:

Today's Date:

Who was your placing County (agency)?

Name of your probation officer or county worker?

Address

Street Address:

County:

City:

State:

Zip Code:

Contact Method

Email Address:

Home:

Cell:

Preferred Method of Contact: Home PhoneCell PhoneEmail

INQUIRY DETAILS

In which Diakon program(s) do you participate?

Weekend Alternative
Center Point
Turning Point
Bridge Program

In Home Services
Behavioral Health Services
Flight Program
Youthful Offender Program

Essay Questions

How did you become involved in a Diakon program?

What areas do you need to improve in and what steps are you taking to do so?

What are your future plans and goals, in terms of a career and education?

What are your financial needs, in terms of fines, court costs, and restitution?

Any additional information identified as necessary by your case worker.

Incentive Requirements

1. You must owe court cost fines, costs, and restitution.

2. Refrain from illegal activity of any kind.

3. Successfully complete identified incentive programming.

571 Moutain Road, P.O. Box 10
Boiling Springs, PA 17007-0010
Phone: (717) 960-6700
Fax: (717) 258-9408

PROGRAMS
Center Point Program
Bridge
Flight
Turning Point
Wilderness Greenhouse
Weekend Alternative Program
Outdoor Group Challenges

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Diakon does not discriminate in admissions, the provision of services, or referrals of clients on the basis of race, color, creed, religion, sex, national origin, sexual orientation, age, marital status, veteran status, disability or any other classes protected by law.