VOICES Interest Form

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VOICES members are volunteers with lived experience of domestic and/or sexual violence as an adult or child who join together to celebrate strength and survival and use their voices to help others through advocacy, education, and empowerment. Members of VOICES should be safe from ongoing violence, not currently in court proceedings regarding the violence and have actively participated in healing from their experience.

As survivors, VOICES members can offer a unique perspective in regard to the community response to domestic and sexual violence and the Family Justice Center and provide survivor input into services and/ or identify gaps in services.

Name *

Phone number *

Email *

Briefly explain your experience as a survivor of interpersonal violence:

I am interested in Committee Membership: *

Active Member: Attend monthly meetings, check Facebook group regularly and participate in events.

Supportive Member: Check Facebook group regularly and limited attendance at meetings.

I am interested in using my VOICE by: *

Providing input on FJC services/processes

Public speaking

Peer support

Participating in events/community meetings

VOICES group coordinator

Other:

Required

Additional Information:

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