Travis County Project Engage Application
Defendant’s Name _______________________________________ Date of Birth _______________
Address:_______________________________________________ Phone #:____________________
Email: _________________________________________________ DL #: ______________________
Aliases (if any) __________________________________________ Social Sec. # ______-____-_____
Employment/school: _____________________________________ Phone #: ____________________
Attorney Name: _________________________________________ Phone #:____________________
Attorney Address: ____________________________________________ Fax #:_________________
Attorney Email: ______________________________________________
Cause Number(s) / dates of arrest / charge(s)
__________________________ / _________________________ / ___________________________
__________________________ / _________________________ / ___________________________
__________________________ / _________________________ / ___________________________
1. Does the Defendant reside in Travis County? YES NO (County of residence)______________
2. Does the Defendant have any other pending cases or charges? YES________ NO ___________
If Yes, charges and jurisdictions: _____________________________________________________
3. Does the Defendant have any outstanding holds or warrants from any other jurisdiction
(including immigration matters)? YES_____ NO _____ UNKNOWN _____
If Yes, charges and jurisdictions: ______________________________________________________
4. Is the Defendant currently on Community Supervision / Probation in any other jurisdiction?
YES (name jurisdiction & offense) _________________________________________NO_______
I am capable of understanding the requirements for Project Engage, and the requirements have
been fully explained to me by my attorney. I swear or affirm that the information provided is true
and correct to the best of my knowledge.
__________________________ _____________ ________________________ ___________
Signature of Defendant Date Signature of Attorney Date
For County Attorney Use Only
Reviewed By _______________________________date ___________ SID # ___________________
Approved _______Denied _______ Reason: _______________________________________________
