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AFTER Formerly Incarcerated/System Impacted Experience Webinar Survey
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* Indicates required question
Email
*
Your email
Last name
*
Your answer
First name
*
Your answer
Would you be interested in additional activities/webinars?
*
Yes
No
Maybe
Would you be interested in meeting with a peer mentor individually or in small groups?
*
Depends on the interest and peer mentor availability.
Individually
Small Group
Both
None
What time works best for you?
*
Depends on the interest and peer mentor availability.
Weekdays, daytime
Weekdays, Evening
Weekends
Other:
Required
What type of information/activities would you be interested in?
*
Your answer
Comments, questions and concerns:
*
Your answer
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