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Expungement Clinic Registration Form

Please note: eligibility screening takes between 48 - 72 hours to complete. If you have additional questions, please email expungement@clackamasworkforce.org. Walk-In appointments are accepted at our clinics ahead of your screening. 

Our expungement clinics aim to help all our community members reduce barriers to employment, housing, and education. We are dedicated to increasing access to justice, education, and career training, by helping those who qualify remove this barrier and help to create a second chance for a better way of life. 

Please answer ALL questions to the best of your abilities. 
1.Which service do you need?
2.Legal Name
3.Date of Birth
4.Phone Number - please format XXX-XXX-XXXX
5.Email Address
6.Address
7.How much total combined money did all members of your household earn in the previous year?
8.Including yourself, how many people currently live in your household?
9.Highest Education Level Completed
10.Which of the following best describes your racial or ethnic identity? (click all that apply)
11.Any additional information you would like to provide?
12.Are you interested in learning more about any of the following:
13.How did you hear about this Expungement Clinic?
14.Do volunteers have your permission to look up your criminal record? 
Current Progress,
0 of 14 answered