Faces of Women Imprisoned Fast Track 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 Fast Track is a speakers' intensive course that focuses on sharpening your public speaking skills. Faces Of Women Imprisoned has developed a speaker bureau, the first of its 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
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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
How would you best describe yourself?
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Native American
Asian
Black
Pacific Islander
White
Multi-racial
Hispanic/Latinx
Other
Other Gender Identity
Please list your Social Media Handle(s)
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Facebook, Instagram, Twitter
How many children under the age of 18 live in your household?
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None
One
Two
Three
Four
Five
More than five
Current Income Range
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Unemployed
$25,000 or less
$25,000-$50,000
$50,000-$75,000
$75,000 or more
Have you or a Family Member been impacted by incarceration? Please select all that apply
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Myself
Spouse
Parent
Sibling
None
Other
Please describe Other Family Member
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
Healthcare
Gender Equality
Racial Equality
Addiction
Spiritual Empowerment
Other
Please describe Other topics
Do you have experience speaking publicly?
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Yes
No
Education Background
High School Diploma/GED
Associates
Bachelors
Masters
Other
Would you be able to commit to the 6 month long program requirements?
Yes
No
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
A LOHM employee
Social Media
Other
Signature
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Program SFID
Salesforce Cohort
Submit
For questions please contact Patricia Lewis - plewis@thelohm.org
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