Institute of Impacted Leaders Interest Form
Please fill out this form if you are interested in participating in Initiate Justice's Institute of Impacted Leaders - a 12-week organizing training program designed for people directly impacted by mass incarceration – launching in LA April 2019!
First & Last Name
How are you impacted by mass incarceration? (Check all that apply)
Formerly incarcerated / convicted
Have an incarcerated / formerly incarcerated loved one
Why do you want to join the Institute of Impacted Leaders?
The Institute trainings will be held on Wednesday evenings from 6:00-8:00pm from April - June in Downtown LA. Does that time work for you?
What support might you need to make it easier for you to participate in the trainings, such as transportation support, childcare, etc.?
Are you available to attend our Informational Session to learn more about the Institute on Tuesday, March 26 from 6:00 - 8:00pm?
Do you have any other questions?
A copy of your responses will be emailed to the address you provided.
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