JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
OPEN MI DOOR Poetry Sign-Up
Hello,
Thank you for your interest in reading a piece of your poetry. We are excited to illuminate the darkness and share the experiences of people who have been incarcerated and their families.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name:
*
Your answer
Email
*
Your answer
Phone:
*
Your answer
City:
*
Your answer
Were you formally incarcerated or do you/did you have an incarcerated loved one?
*
I was formally incarcerated.
My loved one is incarcerated.
My loved one was formally incarcerated.
No, I have never been incarcerated or had a loved one who was.
Do you have a piece of poetry prepared?
*
Yes
No
If you already have a poem prepared, what is the title/topic of your poem?
Your answer
Would you be interested in attending a virtual workshop to help with the writing/healing process?
*
Yes
No
We will follow up soon with you about reading at our upcoming open mic night. Visit
openmidoor.org
to learn more about our campaign to end solitary confinement in Michigan. Thank you!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Citizens for Prison Reform.
Report Abuse
Forms