Build Collective Survivor Power

Survivors are often left out of the policy-making process, even when the policies being considered will directly impact our lives. At FreeFrom, we want to change that! We are working to create spaces and materials to support survivors who want to play an active role in creating and advocating for policies in their state that will improve their lives and the lives of their families.

Are you a survivor interested in being more involved in policy advocacy in your state? If so, please take a few moments to fill out this information and we will get back to you as soon as possible.

First Name*

Last Name*

Your pronouns (optional)

Do you identify as a survivor? (optional)

What is your race or ethnicity? (select all that apply to you) (optional)

Indigenous or American Indian or Native American or Alaska Native

Asian or Asian American

Black or African American or Haitian or other African/Black

Hispanic or Latinx

Middle Eastern or North African

Mixed race or ethnicity

Native Hawaiian or other Pacific Islander

White

I prefer not to say

We'd also like to give you the opportunity to tell us your specific race or ethnicity in an open-ended format. Please feel free to list multiple groups. (For example: Korean, Mexican American, Italian, Navajo Nation, Southerner (American), Puerto Rican, etc.).