Your Contact Information First Name * Last Name * Email * Phone Number Are you an authorized representative of the organization? * I'm the Director of Organization I'm a Board Member of Organization I'm an Employee of Organization I'm an Other Authorized Representative I'm NOT an authorized representative of organization If other, describe your role or relationship to the Organization: Are you involved in the JIN Student Partner Project * Yes No Through which JIN Student Partner Organization are you involved? YUPP EPIC PLAP HOPE SKIDMORE Other If other, which JIN Student Partner Organization are you involved with: Organization Information Organization Information Name of Organization * Organization Type Legal Organization Government Non-Legal Organization Select Legal Organization Type: - None -Nonprofit Legal ServicesPrivate Law FirmPublic Defenders OfficeProsecutor's OfficeCivil Legal Aid OfficeReentry ServicesLegal ClinicOther If other, describe the type of legal organization: Select Government Organization Type: - None -CourtProbation OfficeParole OfficeCorrectional FacilityOther If other, describe the type of government organization: Does organization provide pro bono, free, or low cost services to the impacted community? * Yes No Description (about the organization): * Organization Location Physical Address Street Address City State Zip Code Is this the Organization Mailing Address? - None -YesNo, there is a different Mailing AddressNo, there is No mailing address Mailing Address Mailing Street Address Mailing City Mailing State Mailing Zip Code Organization Contact Contact Methods (Select all that apply): Phone Email Postal Mail SMS Fax In-Person Visits Website Other Contact Methods: Scheduled Appointment Option? Yes No Main Phone Number Main Phone Extension Fax Number Additional Phone Numbers Additional Phone Number 2 Additional Phone Extension 2 Additional Phone Number 3 Additional Phone Extension 3 Additional Phone Number 4 Additional Phone Extension 4 Additional phone numbers description (Please describe the purpose or reason for using these numbers): Main Organization Email * Additional Email Addresses Additional Email 2 Additional Email 3 Additional Email 4 Additional email addresses purpose (please describe the purpose or reason for using these email addresses): Website URL (e.g. https://myorgwebsite.org) Hours of Operation Organization Service Area(s) Service Area - Where does the organization provide services? * NY CT MA FL Other (We are currently piloting in NY, CT, MA, FL, but eventially JIN will be available in your state) If other, which state(s) does the organization provide services? (click CTRL + click to select more than one state) AlabamaAlaskaArizonaArkansasCaliforniaColoradoDelawareDistrict of ColumbiaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming City(s) Served Issue(s) this organization helps with (Choose all that apply): * Pre-trial Trial Post-Trial Pre-Trial Guide Issue Types Arraignment Driver's License Suspension Drug Court Family Court Hiring an Attorney Posting Bond or Bail Pre-Trial Release Conditions Pre-Trial Diversion Programs What to Expect at your First Court Date Pre-Trial Other Issue Types Arrest Attorneys/Legal Services Immigration Trial Guide Issue Types Understanding Discovery Understanding Plea Deals Appearing in Court Pending Case Trial Other Issue Types Attorneys/Legal Services Post-Trial Guide Issue Types Accessing Law School & The Legal Profession Access to Higher Education Compassionate Release Driver's License Restoration Juvenile Delinquency Probation or Parole Prisoner's Rights Record Expungement and Sealing Restitution Sentencing Sex Offender Registration Post Trial Prisoners Rights Types Habeus Corpus Health Care Pregnancy Prison Communications Excessive Force / Assault / Abuse Post-Trial Other Issue Types Appeals Fees & Costs Serving Time in Jail or Prison Community Reintegration Attorneys/Legal Services LGBTQ Women and Children Housing & Shelter Health Care Employment Voting Rights / Jury Service / Census & Other Rights Youth Other If other, describe other Post-Trial issues the organization helps with: Additional notes, anything else that you feel is relevant or interesting to add: CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit