Member Participation Form

Building Blocks for Youth Network
Member Participation Form

We, , support the mission and goals of the Building Blocks for Youth initiative to (1) Reduce the overrepresentation and disparate treatment of minority youth in the juvenile justice system; and (2) Promote fair, rational and effective juvenile justice policies.

Yes! Sign us up for the Building Blocks for Youth Network. Our organization will:

Share Building Blocks for Youth reports, fact sheets, and advocacy tool kits with our networks

Sponsor a Building Blocks for Youth workshop at an upcoming national/local conference

Provide a Building Blocks for Youth information table at an upcoming national/local conference

Organize one Building Blocks for Youth activity or event this year

Assist with media outreach related on juvenile justice issues

Assign a point person within the organization to liaison with the initiative staff

Please check all that apply:

I'd like to receive Building Blocks for Youth reports, fact sheets, and informational handouts

I'd like to receive a Building Blocks for Youth Advocacy Tool Kit

I'd like to receive regular updates

I'd like to subscribe to the Building Blocks for Youth free, on-line newsletter

Contact:

Organization:

Address:

City & State:

Phone:

Fax:

Email:

All fields are required

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Building Blocks for Youth
For a fair and effective youth justice system
...a comprehensive effort to protect minority youth in the justice system
and to promote rational and effective juvenile justice policies...