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Black Prisoners Caucus Notice of Sponsorship Form
This Application form is for all interested community members who are invested in actively dedicating their time & wisdom in the form of Sponsorship for a BPC chapter/program across the state of Washington. The purpose of this application is for us to be able to identify, assist and document any interested community member in navigating the sponsor and volunteer process.
Please take the next couple minutes to complete this form.
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* Indicates required question
Email
*
Your email
Name (Last, Middle Initial, First)
*
Your answer
Address,
City, State, Zip Code
*
Your answer
How did you hear about the Black Prisoners Caucus?
*
Your answer
What are ways in which you can support
the work of the BPC? Can you support:
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Your answer
Which BPC Chapter(s) are you interested in Sponsoring? (please check all that apply)
*
*BPC TEACH (Taking Education And Creating History) Liberation Education Program and Services.
Twin Rivers Correctional Complex in Monroe (TRU)
Washington Corrections Center for Women "Purdy" (WCCW)
Clallam Bay Corrections Center (CBCC)*
Coyote Ridge Corrections Center (CRCC)
Air Weight Heights Corrections Center (AHCC)
Black Prisoners Caucus Community Group (BPCCG)*
Cedar Creek Corrections Center (CCCC)
Stafford Creek Corrections Center (SCCC)*
Olympic Corrections Center (OCC)
Washington Corrections Center "Shelton" (WCC)*
Walla Walla State Penintentary (WSP)
Required
(Below) Please select one of the options that best describe your personal/professional time commitment you can provide as a sponsor/volunteer for the Black Prisoners Caucus?
Once or twice a week?
bi-weekly?
Monthly?
Quarterly?
Describe any other commitments not listed above?
Other:
(Below) Please select every option that best describe your skill set(s) that you bring to support the organizing of Black Prisoners Caucus?
Anti-Racist Organizer
Community Organizer
Community OutReach
Court Advocacy/Participatory Defense
Educator/Trainer/Facilitator
Grantwriter
Funding/Resources
Restorative Justice Practitioner
Researcher
Volunteer
Employment
Other:
Due to various locations of BPC are you considering sponsoring a specific BPC Chapter? Would you consider supporting some of our newest developing chapters? AHCC, CRCC, WCCW, WSP, WCC, OCC, SCCC
*
Your answer
In Addition to meetings, are you interested in teaching/facilitating BPC TEACH classes?
Your answer
Are there any other Comments, Encouragements that you wish to share with the BPC as you finalize your notice of sponsorship form.
*
Your answer
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