Community Dialogue Interest Form

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Community Dialogue Interest Form

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* Indicates required question

Name:

Your answer

I am interested in participating in the dialogues. I am: *

a survivor of crime

have been charged with a crime within Charleston County

both

I identify as: *

male

female

My email address is: *

Your answer

My phone number is: *

Your answer

I am available to meet Saturday, July 23 and Saturday, July 30 at a public library location. *

Yes

No

Required

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