Within Our Lifetime Network Membership Form

The membership form will request the following information: Contact information about the Organization including organizational mission/purpose, Contact person for the organization, size and diversity of staff, diversity of senior staff/chairs/management, diversity of advisory board, and staff identity groups. Also, multiple choice questions on the type of organization, organization entity, and the strategies used and issues focused on, as well as what identity groups the organization works with and where. Our goal in this process is learn more about the breadth and depth of the racial healing and racial equity organizations across the country to map, to strategize and to build our capacity.

    Contact Information

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Affiliates

    Affiliates - If you have affiliates – please have each affiliate complete a form. We are creating a WOL map and would like to include each one on the U.S. Map.Affiliates - If you have affiliates – please have each affiliate complete a form. We are creating a WOL map and would like to include each one on the U.S. Map.

    Contact Person at Organization

    Designated contact person for WOL to correspond with
    This is a required question
    This is a required question
    This is a required question
    Must be a valid email address
    This is a required question

    Organization Information

    This is a required question
    Must be a number greater than or equal to 0
    This is a required question
    Must be a number greater than or equal to 0
    This is a required question