Want to be alerted about opportunities to share your experience, get involved, & change the system?

* 1. What's your name?

* 2. What's your email address?

* 3. What's your phone number?

* 4. What's your town of residence?

* 5. What is your experience with the criminal justice system? Check all that apply.

* 6. On a scale of 1 – 5 stars, how interested are you (considering your availability) in participating in the criminal justice reform movement and working with VCJR (5 being extremely interested)?

* 7. Are you interested in speaking with journalists about your experience with the CJ system?

* 8. Are you interested in opportunities to testify at the state house?

* 9. Are you interested in opportunities to speak publicly about your experience with the CJ system?

* 10. Do you want to be involved in anonymous ways (e.g. being invited to events, providing feedback, or writing)?

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