Groundwork's 2018 Anti-Racism Education Workshop Registration Form
Thank you for your interest in participating in Groundwork's Fall 2018 workshop. None of the following questions are required, but the information that you share helps us as we finalize details for the workshop. Once you've applied, you'll hear from a Groundwork member to confirm your registration.

Please read the workshop description online before registering to participate. You can find this here:
https://groundworkmadison.files.wordpress.com/2018/10/groundwork-anti_-racism-education-workshop-2018-1.pdf

Workshop details:
Sundays, 10/7-11/18, 3:30-6:30 pm
Trinity United Methodist Church
1123 Vilas Avenue
Madison, WI 53715

We will prioritize space for participants who do not expect to miss more than one workshop session, but we encourage all to apply.

A couple of notes to consider while registering. These are also included in the workshop description.

Accessibility:
The space we use will be wheelchair accessible and close to a bus line. We will strive to provide childcare for participants who request it ahead of time. If you have other needs or accommodations, please let us know.

Fees:
We offer a sliding scale for our workshop fee because it is important to us that the workshop be accessible to all, regardless of ability to pay. Our recommended scale is $150 - $250 for individuals, $250­- $500 for those sponsored by an organization/workplace. This is a big range! Please be thoughtful about what you can afford. We suggest starting in the middle of the range. We ask people who feel like they can give more, to please give generously. If you need assistance to attend the workshop, please contact us to discuss scholarship options or payment plans. We are willing to work with you to come up with a plan that works for you and no one will be turned away for lack of funds.

What does the workshop fee go toward? Groundwork members give of our time freely to organize, promote, and facilitate the workshop. Beyond paying for workshop costs (childcare, copies/office supplies, honorariums for guest speakers, etc), the remainder and majority of the funds that Groundwork raises through the workshop are used to support racial justice initiatives. We help “redistribute the wealth” to support grassroots organizing by people of color working for
racial justice throughout the year, as well as organizing and education of white people to be allies in racial justice work. So the workshop fees allow you to participate in the workshop, but they also contribute to important racial justice education and activism in our communities.

About Groundwork Madison:
Groundwork is a white anti­racist collective working to recognize and break down white privilege and achieve racial justice in our communities. We are committed to doing work against racism in our daily lives from the heart, with dignity, integrity, and radical honesty. Groundwork formed after an anti­-racism workshop in the fall of 2004 and we have consistently had 8­-15 members.

Groundwork was intentionally formed by white activists to take responsibility for working with “our people”—other white folks—in order to challenge racism and white privilege. Building on the long history of racial justice work past and present, we seek to strategically organize white people to understand the impact white supremacy has on our lives, communities, and movements for social justice, while strengthening our courage to work for racial justice in all that we do. We are an open group and welcome people with a commitment to deepening their understanding and taking action to end racism.

More information is available at groundworkmadison.com.

Questions? Please contact groundworkmadison@gmail.com.

You are also welcome to mail a completed application form to Groundwork Madison, C/o Jonathan Garber, P.O. Box 3282, Madison, WI 53704.

First Name
Your answer
Last Name
Your answer
What's the best way to contact you?
Phone Number
Your answer
Email Address
Your answer
Preferred gender pronoun
We invite you to share your preferred gender pronouns. For example, they/them/theirs, ze/hir/hirs, she/her/hers, he/him/his.
Your answer
Would it support you to have childcare provided during the workshop? If so, please let us know the names of the children and their ages.
Your answer
Are there any accommodations that would support your participation in this workshop?
Your answer
What organizations are you currently involved in?
These can include groups that you volunteer or work with.
Your answer
What are you hoping to take away from this workshop?
Your answer
Are you available to attend all dates/times of the workshop?
If not, please let us know which days/times you anticipate not attending.
Your answer
Please let us know how much you expect to contribute towards the workshop fee, and if you would like to discuss scholarship options or payment plans.
We offer a sliding scale for our workshop fee because it is important to us that the workshop be accessible to all, regardless of ability to pay. Our recommended scale is $150 - $250 for individuals, $250­- $500 for those sponsored by an organization/workplace. This is a big range! Please be thoughtful about what you can afford. We suggest starting in the middle of the range. We ask people who feel like they can give more, to please give generously. If you need assistance to attend the workshop, please contact us to discuss scholarship options or payment plans. We are willing to work with you to come up with a plan that works for you and no one will be turned away for lack of funds. Workshop fees can be paid at the first session of the workshop or online (available soon) before the workshop starts.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.