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Interest in participating in HIV criminalization work in your state
Let us know your level of interest in being engaged with HIV decriminalization in your area.
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Affiliation/Institution
(Required.)
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4.
City
(Required.)
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5.
State
(Required.)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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6.
Zip Code
(Required.)
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7.
Email
(Required.)
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8.
Which activities are you potentially interested in?
(Required.)
Learning more about opportunities to be involved via webinar
Joining an informal or formal network of providers in your state that can be contacted when cases arise
Serving as an expert resource to local advocates
Serving as an expert witness for a local case
Actively participating in state/local efforts to reform state-level infectious disease criminal statutes
Not sure
9.
Describe previous experiences, if any, that you may have in this space:
Current Progress,
0 of 9 answered