EXPUNGEMENT & EMPLOYMENT POP-UP EVENT - Harvey, IL, Thursday, March 31, 2022

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Please complete this form to register for our FREE expungement clinic and resource fair on Thursday, March 31, 2022. The National Diversity and Inclusion Cannabis Alliance (NDICA) and other key agencies are hosting this event.

Your information will be processed and we will follow-up with you on-site with next steps to remove barriers caused by your criminal record.

Disclaimer:
This questionnaire is created for informational purposes only and is not designed to create an attorney-client relationship.

The following services & resources will be available to justice involved and justice impacted everyday people:
• Information on sealing or expunging criminal records
• Voter registration and cannabis legalization information
• Employment services
• Social Equity Event
• Workforce Development

Date & Time:
Thursday, March 31, 2022, 9 AM - 12 PM

Location:
The Better Sister and Brother Growth Network, NFP, 29 W 159th St, Harvey, IL 60426

* FACE MASK REQUIRED

What to bring:
• Proof of Identification (Drivers License, Photo ID)
• Rap sheet (not required but preferred)

Contact us if you need assistance on how to obtain your rap sheet at (206) 731-9139
If you have any further questions please contact us at info@thendica.org or call us at 206-731-9139.

Email *

First Name *

Last Name *

Race / Ethnicity *

White (Non Hispanic)

White Hispanic

Black or African American Hispanic

Black or African American (Non Hispanic)

Asian

Native Hawaiian & Other Pacific Islander

American Indian

Alaskan Native

Other: Multiracial (Non Hispanic)

Required

Gender *

Male

Female

Age *

10-14

15-27

18-25

26-35

36-45

46-55

56-64

65+

Phone Number

Do you have one or more convictions on your record?

Yes

Clear selection

In what court house were you charged and/or convicted?

What Record Services do you need?

I have a IL criminal record and not sure what to do next

I want to expunge my IL criminal record

I want to seal my IL criminal record

I have a criminal record in another State or Federal charges

I have a criminal record arising from a Military Tribunal

Are you on probation or parole?

Probation

Parole

Clear selection

Are you registered to vote?

Yes

Clear selection

Have you ever voted?

Yes

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Which time frame works better for you on March 31, 2022? *

9 AM - 10 AM

10 AM - 11 AM

11 AM - 12 PM

What type of additional services would you like more information about?

Housing

Substance Use Treatment

Employment

Childcare

Elder Services

Voter RegistratioN

Immigration Rights and Services

Mental Health Services

Reentry Information

Cannabis legalization information

Food assistance

Disability services

Clear selection

Submit

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