BTEI-Prison Terminal Saturday 4/25/15 (12:30 pm to 2 pm) and 6:30 to 9:00 pm. Fordham University, Lincoln Center Campus, Pope Auditorium

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Please register for this event by completing the form below.

Thank you!

The Be the Evidence International Team
Join the Movement at www.betheevidence.org

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* 1. What time/s would you like to attend the film screening? (please check all that apply)

Afternoon (12:30 to 2 pm)

Evening (6:30 to 9 pm)

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* 2. How many individuals will be attending? Please clarify if it is just one (you) or more than one person that will be coming as part of a class (high school or college) or organization.

1 person (me)

Other: More than one person that is not part of a class (list total number below)

Other: More than one person that is part of a class (list total number below)

Other: More than one person that is part of a community organization (list total number below)

Other (please specify)

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* 3. Email:

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* 4. First and Last Name:

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* 5. Institutional affiliation:

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* 6. Position:

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* 7. Telephone number/s:

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* 8. Mailing Address (Street, City, State, Zip Code):

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* 9. Are you a student-Interested in volunteering for the event? (yes, no, maybe)

Yes

Maybe

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* 10. List any questions you would like to ask the director of prison terminal, Edgar Barens,

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* 11. List any questions you would like to be discussed during the town hall portion of the program.

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* 12. If you are interested in volunteering on BTEI's multistage effort in addressing the aging prison crisis, including in New York, please let us know how you would like to help.

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* 1. What time/s would you like to attend the film screening? (please check all that apply)

Question Title

* 2. How many individuals will be attending? Please clarify if it is just one (you) or more than one person that will be coming as part of a class (high school or college) or organization.

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* 3. Email:

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* 4. First and Last Name:

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* 5. Institutional affiliation:

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* 6. Position:

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* 7. Telephone number/s:

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* 8. Mailing Address (Street, City, State, Zip Code):

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* 9. Are you a student-Interested in volunteering for the event? (yes, no, maybe)

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* 10. List any questions you would like to ask the director of prison terminal, Edgar Barens,

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* 11. List any questions you would like to be discussed during the town hall portion of the program.

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* 12. If you are interested in volunteering on BTEI's multistage effort in addressing the aging prison crisis, including in New York, please let us know how you would like to help.

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* 13. What additional programs would you like for BTEI to host, please send us your ideas!