OneRace Cohort 3 Program Application Form  
We are all members of the Human Race!

The OneRace Program invites people from different ethnicities and cultures to intentionally connect, communicate, have fun and learn about each other in a meaningful way.  This riveting program will provide you a cultural exchange experience that combines fun, education, connection, awareness and personal growth.

Program Timing:  January - June 2023
- 3 Monthly Pair Meetings
- 3 Cohort Group Meeting (Tuesdays 7-9 pm)
  • January 17 - Program Launch: Virtual meeting link will be provided
  • March 14
  • June 6
Questions? Contact us at OneRaceProgram@gmail.com
Email *
Cannot pre-fill email
What is your cell number?  *
Your answer
What is your nationality? *
Your answer
How do you racially identify? *
Your answer
How do you identify your ethnicity? 
 *
Your answer
How do you identify your gender? 
 *
Your answer
How do you identify your religion? *
Your answer
To the extent you would like to share, what other identities or relevant info would you like us to know about you - such as age, ability status, where did graduate high school/college, education level, occupation, marital status, etc. ?” *
Your answer
What is your age range? *
Please check the location where you live *
Email *
Cannot pre-fill email
Program Participation
What is your participation preference? I will participate ... *
How did you learn about the program? *
Why is the OneRace program interesting to you? *
Your answer
Email *
Cannot pre-fill email
Anti-Racist Self Assessment
Have you participated in any anti racist work, racial/diversity education, workshops or activism?  If yes, please explain.   *
Your answer
Which books, articles or podcasts have influenced your thinking about race or culture? *
Your answer
On a scale of 1-5, with 5 being very comfortable and 1 being not comfortable at all. How comfortable are you discussing the following: *
1
2
3
4
5
Racism
Bias
Privilege
Discrimination
On a scale of 1-5, with 5 being very willing and 1 being very reluctant. How willing are you to learn about differences and other cultures? *
On a scale of 1-5, with 5 being very willing and 1 being very reluctant. How willing are you to share your own culture/identities? *
Email *
Cannot pre-fill email
Your Interests
In order to effectively pair you, we would love to learn more about you.
Please describe your interests and hobbies? (Examples: sports, reading, visiting museums, parks, concerts, photography, dancing, music, movies, theater, hiking, traveling, arts and crafts etc.) *
Your answer
Please describe other ways you might like to be paired with others, like values important to you, lifestyle, etc. ? *
Your answer
Would you prefer to be paired with someone that is the ... *
Do you have kids?  If yes, what are their ages? *
Your answer
Anything that you'd like to share with us that you haven't already? *
Your answer
Email *
Cannot pre-fill email
Your Commitment
Participants will be paired with someone from a different culture and ethnicity. Through focusing on commonalities, our participants will embark on a monthly guided virtual program for six (6) months.  

This virtual program requires a commitment to participate in the monthly connections for six (6) months. Throughout the 6 months, we will be sending you a monthly survey, we want to learn what went well and what didn't. Receiving your feedback is important to shape the future of the OneRace Program.

Requirements are a minimum of 1x a month connection with your pair and providing feedback on your program experience.
Can you commit to completing the 6 month program? *
Can you commit to attending the following 3 virtual group meetings for the OneRace Cohort 2 program:
Yes
No
Other
OneRace Program Launch
Educational Presentation
Graduation/Final Group Meeting
If you selected 'other' in the question above, please elaborate on your answer
Your answer
Are you willing to make a minimum of one connection with your pair per month? *
Can you commit to providing feedback (positive/negative) on the program?   *
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