MARJ - Mutual Aid & Restorative Justice
Please fill out this form to help us get a sense of what you need, what you can contribute, and which circles you might want to participate in.
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What pronouns do you use? (Example: she/her, he/him, they/them, ze/zir, no pronouns, etc.)
City & State
What language do you prefer to use?
What race do you identify with?
Are you formerly incarcerated?
Do you want to be paired with someone to check-in with?
If yes, how regularly do you want to check in?
How do you want to check in? (Check all that apply.)
Video call (Skype, FaceTime, Zoom, etc.)
Are you interested in online check-in circles or wellness gatherings? Check all that apply to you. (If you have an idea for one, please let us know in "Other".)
General, open to everyone
For formerly incarcerated people
For survivors of intimate partner violence and sexual harm
Meditation and guided breathing session
When are you generally working/busy and when are you generally available?
What are your hobbies and interests?
How did you find out about us?
A friend told me
A social service or non-profit told me
I found it online
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This form was created inside of The Ahimsa Collective.