2018 Testimony Question Title * 1. Contact Information Name (optional) School/Organization/Company & Title City/Town State/Province Email Address Phone Number OK Question Title * 2. Which of the following best reflects your past and/or current relationship to NCCJ? (Choose all that apply) Student/Participant Administrator/Principal Adviser/Teacher Parent/Guardian Other (please specify) OK Question Title * 3. Which programs have you been involved with/in? Please check all that apply NCCJ Bridges NCCJ ANYTOWN Action Club NCCJ YAC events Other (please specify) OK Question Title * 4. How have NCCJ programs and/or events impacted you? OK Question Title * 5. Do you think NCCJ programs have impacted your community? If so, in what ways? OK Question Title * 6. What changes do you know of or have you witnessed that you attribute to NCCJ programs or support? OK Question Title * 7. In 1-2 sentences, what would you say to someone considering participating in a NCCJ program? OK Question Title * 8. Would you like to share a photo or GIF of yourself? Upload an image you'd like for us to consider for use. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Upload an image you'd like for us to consider for use. OK Question Title * 9. Do you give NCCJ permission to include your name with your testimony in grant applications? Yes, I give my permission for NCCJ to include my name with my testimony for grant applications. No, I do not give permission for NCCJ to include my name with my testimony for grant applications. OK Question Title * 10. Do you give NCCJ permission to include your name with your testimony for marketing purposes? Yes, I give my permission for NCCJ to include my name with my testimony in marketing initiatives. No, I do not give my permission for NCCJ to include my name with my testimony in marketing initiatives. OK Thank you so much for providing your thoughts and sharing your experiences with us! Your willingness to share helps to ensure the continued success of NCCJ! OK DONE