Become an Advocate

I am volunteering to be:

Ambassador Envoy

Institution Type *

Synagogue School Organization Other

Institution Name *

Institution Description *

Institution Address *

Relationship to Institution *

Leader Member Volunteer Supporter/Donor Other

Notes (Optional)

Privacy Notice: Your name will never be published or shared without your explicit consent.

First Name *

Last Name *

Email *

Phone *

Professional Capacity *

Religious Professional Mental Health Professional Parenting or Family Professional Layperson

Experience with Coercive Custodial Control *

I have experienced CCC I know someone who has experienced CCC Other

By submitting this form, you agree to be contacted about the ambassador program.