Reckoning With Torture Movie - 2012

Thank you for helping to make the Reckoning With Torture movie and ensuring that a variety of faith voices are included.

We are eager to track the number and locations of NRCAT supporters who have submitted video footage. Please take a few minutes to describe your video.

If you have any problems with this form or any questions about the Reckoning With Torture project, please contact NRCAT at campaign@nrcat.org or 202-547-1920.

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* 1. Please tell us who you are.

Prefix/Title

First Name

Last Name

E-mail address

Phone

Congregation/Organization

City

State (postal abbrev.)

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* 2. Please provide a brief description of the location for your filming:

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* 3. Please provide a brief description of who was filmed. (Your answer might just be "me!" or "the rabbi and members of my synagogue" or "members of the Capitol Region Clergy Association who gathered for their monthly meeting.")

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* 4. Tell us how many people participated:

# of people filmed

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* 5. Use this space to let us know if you have any questions or concerns or if you have specific requests for how NRCAT might support your local organizing.

Thank you for helping to ensure that the religious community is well-represented in the Reckoning With Torture movie.

If you did this project in conjunction with other Torture Awareness Month activities, please let tell us about your other activities, too, using the brief form found at:
www.surveymonkey.com/s/TAM2012.