Thank you for taking the time to learn about the mission and opportunities of the Justice Circle! Desiring to move forward in our collaborations toward each initiative under the three identified pillars, we wanted to determine your level of interest. Additional meetings are being arranged in preparation for Breaking Bread, ACT NOW The People's Commission, and the 2021 Health Fair. You are welcome to engage in one or all three of these initiatives. We are also desiring to ascertain your willingness to become a member of the Justice Circle. This is a brief survey. Thank you for your time!

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* 1. What is your name?

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* 2. What is your email address?

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* 3. What is your organization and title?

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* 4. Are you willing to remain engaged with the Justice Circle, which includes participating in monthly meetings and assisting with initiatives?

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* 5. Breaking Bread is an educational and relational event that will involve engaging in an intentional conversation with someone from a different cultural background than your own. Would you like to participate in the January 14, 2021, Breaking Bread event on Zoom from 12:30-1:30 pm?

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* 6. To help us arrange the small groups for Breaking Bread, please indicate your race:

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* 7. Do you feel that you have the skill set to assist as a small group moderator for the Breaking Bread event on January 14, 2021?

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* 8. ACT NOW is a national initiative addressing policing and community safety in which we will be conducting interviews and listening groups. ACT NOW staff will develop a briefing book containing findings from interviews at the many sites across the country and will present this to our US congress. Would you be willing to participate in an interview?

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* 9. The People's Commission will be an ongoing grassroots effort forming a group of Nashville residents providing informal voice related to the issues of community policing and community safety. Would you be interested in participating in the discussion group?

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