Faces of Women Imprisoned Application
Faces Of Women Imprisoned is a powerful opportunity for the public to hear and learn from Incarcerated women through public symposiums. Equally important, it provides a training ground for incarcerated and formerly incarcerated women who never had the encouragement and the opportunity to publicly speak about their experiences and how what they learned can inform and transform public policy and legislation. Faces Of Women Imprisoned has developed a speaker bureau, the first of it's kind created and run by impacted women. The speakers bureau will deepen and broaden the public conversation, empower formerly incarcerated and impacted women and provide income for women as they speak around the country.
What is your Full Name
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First Name
Middle Name
Last Name
What is your date of birth?
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Month
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Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list your Primary Phone Number
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Area Code
Phone Number
Email Address
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What gender do you identify as?
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Female
Male
Prefer not to say
Other
Please list your Social Media Handle(s)
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Facebook, Instagram, Twitter
Have you or a Family Member been impacted by police brutality? Please select all that apply
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Myself
Spouse
Parent
Sibling
None
Other
What topics do you advocate for? Please select all that apply
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Women's Rights
Education
Justice Reform
Housing/Homelessness
Parole & Probation
Employment
Entrepreneurship
Gender Equality
Racial Equality
Addiction
Spiritual Empowerment
Police Reform
Military Trauma/PTSD
Military Reform
Other
Do you have experience speaking publicly?
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Yes
No
Have you served in the U.S. Military?
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YES
NO
Have you ever been deployed to a combat area?
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YES
NO
Do you suffer with PTSD?
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YES
NO
Would you be able to commit to the 6 month long program requirements?
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What do you wish to gain from this experience?
What are your long term career goals?
How did you hear about this program?
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The LOHM Website
An LOHM employee
Social Media
Other
Signature
Submit
For questions please contact Patricia Lewis - plewis@thelohm.org
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