National Survey of the Wrongfully Convicted and Their Loved Ones
Please fill out this form if you are a wrongfully convicted individual and would like to be considered for our survey. LAJ is driven by the lived experiences of our founders and Board of Directors, who collectively spent 93 years in prison for crimes they did not commit. Guided by our principle of "nothing about us without us," LAJ is focused on collecting comprehensive information and data on the experiences and needs of our community with the goal of building an ecosystem of holistic support for the wrongfully convicted and their loved ones. This survey is the first of its scale and depth, aiming to redefine freedom as thriving, not merely surviving. Help us tell OUR story in OUR way!
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
Please Select
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
State
Zip Code
State where you were wrongfully convicted
Street Address
Street Address Line 2
City
Please Select
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
State
Zip Code
Have you been released?
Yes
No
Release year
Have you been exonerated?
Yes
No
Exoneration year
Would you like to participate in our survey?
Yes
No
Do you give us permission to contact you via phone and/ or email?
Phone
Email
Both phone and email
No permission to contact me
Additional comments:
Submit
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