Freedom Road Pilgrimage Exploratory Form
This form is the next step towards arranging a Freedom Road Pilgrimage! The information gathered here helps the Freedom Road team design the best experience for you and your organization.
First and Last Name:
Organization You Represent:
What is your role in the inquiry process?
Connector. Someone else will take over after the event is confirmed.
Organizational Background (how long in existence, make up of leadership team, main issue or topic that you would like to address):
Story that your group is interested in journeying through:
Development of Political Constructs of Blackness and Whiteness
Immigration, Exploitation and Labor
Native American Removal and Exploitation of the Land
RubyWooPilgrimage: Women’s Struggle for Equality
1619: Africans Entry, Resistance, Rebellion and Rising on US Soil
Custom designed pilgrimage
If customized, what location is of interest?
Out of town - Domestic
Out if town - International
If custom designed, please explain what you have in mind and any location details:
What is the intended goal for this Pilgrimage?
Length of Desired Pilgrimage:
Anticipated number of participants:
Participant age range:
Percentage of participants projected to be people of color:
Projected number of people with disabilities (please include general details):
Participant departure airport:
How does your organization expect to cover Pilgrimage costs?
Grant covers all costs
Grant covers part of costs, participants cover remaining part of costs through registration
Participants cover full cost of their participation through registration
Any additional details regarding expense coverage?
Pilgrimage Budget Range:
Is there anything else we should know about your organization or Pilgrimage?
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This form was created inside of Freedom Road.