I am a: * Corporate Executive Role
We’ve listed 4 C-Level Corporate Executive roles. Please rank how you identify with each. During the event, you will be assigned to one of the four groups to discuss your experience related to the responsibilities. Rank in order of 1-4 with 1 being the most and 4 being the least. Since we have an unknow mixture of volunteers, you may not get assigned to the group where you have the most experience.
CEO - Responsible for managing a company's overall operations. This may include delegating and directing agendas, driving profitability, managing company organizational structure, strategy, and communicating with the board. COO - This person manages and handles the daily business operations of the company, working closely with department heads and supervisors to support the day-to-day activity of employees. CFO - They are responsible for tracking cash flow and financial planning and analyzing the company's financial strengths and weaknesses and proposing strategic directions. CMO - Responsible for activities in an organization that have to do with creating, communicating and delivering offerings that have value for customers, clients or business partners. Your Name EXACTLY as it appears on your drivers license or passport *
If you go by Tom but your Drivers License says Thomas, please enter "Thomas."
Required Security Info Have you attended an In-Prison PEP event before? * Which government ID will you use to verify your identity? * Have you completed TDCJ Training * Please verify that the date on this identification is still valid through the date of the event(s) you selected above. * Drivers License State * TX AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Passport Country of Issuance
Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Congo, Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czechia Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russian Federation Rwanda Réunion Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Arab Republic Taiwan Tajikistan Tanzania, the United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkmenistan Turks and Caicos Islands Tuvalu Türkiye US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands
Do you have a family member or friend currently housed within a TDCJ Facility? *
(If so, we may need to secure special approval from the warden for your visit.)
Have you ever served time in a TDCJ Facility? *
Have you ever served time in a TDCJ Facility? (Select NO if you only served time in TYC and/or county jail).
If YES, please list the facility where you served time and your release date.
(If NO, please skip this question.)
If YES, are you still on parole? ADDITIONAL CONTACT INFO What is your industry or functional expertise? Auto/Automotive Repair Accounting/Bookkeeping Construction--Commercial Construction--Residential Finance/Financial Services Food Services/Hospitality Health Care Human Resources Insurance IT Landscaping Law--Business Law--Criminal Law--Family Management Manufacturing Non-Profit Oil and Gas/Power/Energy Operations Other Professional Services Real Estate Retail Sales/Marketing Transportation Please provide your address as it appears on your drivers license.
* Medications / Medical Devices Will you need to bring any medicine/medical devices into the Unit with you? *
EX: insulin, inhaler, oxygen tank, wheelchair, etc.
Waiver of Liability and Media Release Agreement Please read and indicate your agreement. *
Please read and indicate your agreement.
IN CONSIDERATION for being permitted to participate in activities of the Prison Entrepreneurship Program ("the Program"), THE UNDERSIGNED, for himself/herself, his/her personal representatives, heirs and next of kin: 1. Agrees that he/she appreciates the risk of injury during his/her participation in the Program and further agrees that he/she assumes full responsibility for his/her own safety and for determining that no dangerous conditions exist that could affect his/her own safety at any of the sites; 2. Agrees that his/her participation in the Program acknowledges that he/she finds the sites as being reasonably safe for the purpose of his/her use, and further agrees that if, at any time he/she feels anything to be unsafe, he/she will immediately withdraw from the dangerous area; 3. Acknowledges that in the course of his/her participation during in-prison events or other PEP sponsored activities, video or photographs may be taken or illustrations may be made of him/her and further agrees to allow, without compensation, his/her likeness to appear in material, regardless of media form, promoting the Program, its events and activities, including those of its representatives and licensees; 4. Releases, waives, discharges and covenants not to sue Prison Entrepreneurship Program or any subdivision thereof, and each of them, their officers and employees, (hereinafter as "Releasees") from all liability to the undersigned, his/her personal representatives, assigns, heirs and next of kin for any and all loss or damage and any claim or demands therefrom on account of injury to the person or property or resulting in death of the undersigned en route to/from the site, in or upon the site or while observing, working for or participating in the Program; 5. Agrees to hold harmless and to indemnify the Releasees from and against all claims, actions, damages and expenses, including but not limited to reasonable attorney's fees for any alleged injury and/or death to any person or damage to any property arising or alleged to have arisen out of any negligent, reckless or intentional act of the undersigned or failure to act on the part of the undersigned, his/her heirs, successors or assigns; and 6. Agrees that the foregoing release, waiver and indemnity agreement is intended to be as broad and inclusive as is permitted by laws of the State of Texas and that if any portion thereof is held invalid, the balance shall continue in full legal force and effect. I have read and voluntarily signed this Waiver of Liability and Media Release Agreement and further guarantee that no additional oral representations, statements or inducements have been made.
Individual RSVP Acknowledgement * I understand that this registration is only for myself and any guests that plan to attend with me will complete their own registration.