BSC Restorative Justice Intake Form [Spring 2023]
Hello! Thank you for reaching out to the Restorative Justice Practitioners for the BSC. The purpose of this form is to assess the best restorative practice for your needs. In case you aren't familiar with Restorative Justice, here is a quick overview.
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Email *
What is Restorative Justice?
A response to harm and conflict that highlights repair and accountability
  • Identifies harms and needs of all parties
  • People-centered rather than punishment-centered
Collaborative and inclusive decision-making process to rebuild trust
  • Empowerment to those who have been harmed
  • Involves participation and engagement
What can we offer?
RJPs in the BSC are collaborating with the RJ Center of UC Berkeley, who are dedicated to empowering communities to resolve conflict and strengthen bonds with trauma-informed restorative practitioners. In collaboration, we're able to offer the following:
  • Community Building Circle: RJ Practitioners help facilitate conversations aimed at cultivating a healthy community and creating open dialogues between community members. The focus of the circle can be either specific or broad, emphasizing a particular topic you would like to discuss.
  • Conflict Resolution & Peace-building Conference: RJ Practitioners facilitate various conferences to support a community that is addressing a conflict and to have an honest dialogue within a safe space to address harms and needs in order to repair and restore relationships.
Intake form
What is your name? *
Your name will remain confidential and only be shared with the RJ Practitioners who will be working with you and your community.
What are your pronouns?
Where do you live? *
What leadership role do you hold at your house, if any?
What is the best way to contact you (call, text, e-mail)? Please provide contact information. *
How can Restorative Justice Practitioners best serve you/your community? 
 *
Please say a little more on how RJ Practitioners can serve your needs.
Who referred you to us?
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Further comments or questions?
A copy of your responses will be emailed to the address you provided.
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