Faces of Freedom Questionnaire

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1. What is your relationship with the ACLU of Tennessee? (Please check all that apply.) *

2. Why do you support the ACLU? *

3. Why is ACLU-TN important to Tennessee? (optional)

4. Do we have your permission to share your statement or portion(s) of it publicly, including your name? *

5. If you answered "yes" to question 4, do you have a photo of yourself that you would be willing to let us share publicly?

(If you select "yes," we may contact you by email to request a copy of the photo.)

6. If you answered "no" to question 4, do we have your permission to share your statement or portion(s) of it publicly if we do not use your name or image?

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By filling out the questionnaire and submitting your statement here, you're giving us authorization to contact you. If you gave us permission above, your statement and/or image may be used on ACLU-TN’s/ACLU’s social media accounts, placed in the ACLU-TN/ACLU library, used online or used on public television/community access, in ACLU-TN/ACLU publications, or at public events for educational purposes only. Images used for this project are not resalable for profit. We will use your name and/or image only if you gave us your permission to use it above. We will keep your address, telephone number and email confidential unless we are ordered to turn it over by a court (although we will attempt to prevent any disclosure). Click here to review the ACLU's general Privacy Statement about gathering personal information online. Please do not click away from this page until you see a new page that says “Thank you for sharing your statement!” or your survey answers will not be saved.