Section 1 of 1
Deconstructing Whiteness Introduction Form
Hi there! Please fill out this short introduction form. The Deconstructing Whiteness Planning Team will respond shortly. We look forward to meeting you at an upcoming session.
Email
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Would you like to be added to our mailing list?
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Yes
No
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Full name
Full name
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Pronouns You Use
Pronouns You Use
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she/her
he/him
they/them
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How did you hear about DW?
How did you hear about DW?
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Facebook
Peace House
DW Newsletter
personal invitation from DW participant
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Where are you located?
Where are you located?
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Ashland, OR
Talent, OR
Phoenix, OR
Medford, OR
Central Point, OR
other locale in Oregon
outside Oregon
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What is your previous experience with examining whiteness, white supremacy culture, and/or racism awareness?
What is your previous experience with examining whiteness, white supremacy culture, and/or racism awareness?
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Participated in a Workshop or Anti-bias training
Self-education through Books, Videos, Podcasts
Participated in a Book Group
Attended BIPOC Art/Entertainment/Cultural Events
Participated in a Protest or March
Just getting started, little previous experience
Other:
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What Topics are of interest around whiteness and racism?
What Topics are of interest around whiteness and racism?
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White Fragility, Silence, Apathy, etc.
Practice Interrupting Racist remarks
Intersection of Sexism and Racism
Decolonization
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What questions do you have?
What questions do you have?
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The all volunteer Planning Team for DW is actively seeking interested community members for a variety of roles. We look forward to the creative contributions from new folks. Indicate your availability below.
The all volunteer Planning Team for DW is actively seeking interested community members for a variety of roles. We look forward to the creative contributions from new folks. Indicate your availability below.
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Not at this time
Yes, I am interested and available to help immediately
Yes, I am interested and available to help in the near future
I am interested, but I have no available time right now. I will keep my eye on the newsletters for requests for specific support!
Planning/organizing is not my strength, but I am available to help in other ways!
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If you answered “Yes," let us know your interest or skill sets. Indicate Skill sets from your valuable lived experience; or in a professional arena.
If you answered “Yes," let us know your interest or skill sets. Indicate Skill sets from your valuable lived experience; or in a professional arena.
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Organizing of People
Logistical Organizing
Technical Ease with computers and Social Media
Presenting info to a group
Creating content for a group
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Do You need any accommodations for Zoom or in-person? Please let us know.
Do You need any accommodations for Zoom or in-person? Please let us know.
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Anything else you'd like us to know?
Anything else you'd like us to know?
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Thank YOU for your time and attention!
Thank YOU for your time and attention!
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