Three Sixty Program Membership
To apply for membership please answer all questions with 100% honesty. This program is for Offenders who have been charged with Domestic Violence and this program will hold you accountable for your actions, The 360 Program will have you looking at YOUR actions, showing accountability for YOUR actions and being trained how to maintain a healthy relationship, how to cope with anger, and still be held accountable for YOUR own actions. This program cost is $425 and can be paid in one-time payment or with a payment plan of $35 administration fee and $75 deposit, & $75 payment every two weeks for 6 month totaling $535. You will receive a certificate at the end of this training. This training is twice a month for 6 months and will be an ongoing training as needed. The program will follow you for a year after the services are provided.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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Country
E-mail
Home Number
-
Area Code
Phone Number
Cellular Number
-
Area Code
Phone Number
Work Number
-
Area Code
Phone Number
Have you been charged in a domestic violence case?
Yes
No
What have you been charged with?
Can your provide the organization with a copy of your paperwork?
Yes
No
What city, state and County was you charged?
Have you taken anger management?
Yes
No
Did you take it because it was ordered
Yes
No
Do you have access to the internet.
Yes
No
What day of the week are you available
Monday
Tuesday
Friday
Saturday
What time are you available
5:30 pm
6:30pm
Saturday 6:00 pm
Saturday 7:00 pm
Saturday 8:00 pm
Signature
Signature date
My Products
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1 Time payment
$
425.00
This program is for Offenders who have been charged with Domestic Violence and this program will hold you accountable for your actions, The 360 Program will have you looking at YOUR actions, showing accountability for YOUR actions and being trained how to maintain a healthy relationship, how to cope with anger, and still be held accountable for YOUR own actions. This program cost is $425 and can be paid in one-time payment.
Biweekly Payment
$
75.00
This program is for Offenders who have been charged with Domestic Violence and this program will hold you accountable for your actions, The 360 Program will have you looking at YOUR actions, showing accountability for YOUR actions and being trained how to maintain a healthy relationship, how to cope with anger, and still be held accountable for YOUR own actions. This program payment plan of $35 administration fee and $75 deposit, & $75 payment every two weeks for 6 months totaling $535.
Total
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Apply for Membership
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