Hello! Please complete the EJBMS Cohort Application below. If you have any questions about this application, email Omari at All Streets, All People (ASAP) at omari@asapworldwide.org. Feel free to call our office between 8
am - 5pm M-F at (318)734-9107. We accept applications on a rolling basis.
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Today's Date *
Are you interested in becoming a Faculty-Organizer or Popular Education Facilitator with EJBMS? *
Email *
First Name *
Middle Initial
Last Name *
Cell Number *
How did you hear about the EJBMS?
Describe yourself in 1 sentence.
In 1 sentence, what does Systems Change/Movement mean to you?
Briefly describe why you are interested in joining the Ella Jo Baker Movement School 2022 Cohort? (No more than five sentences.) *
Are you a member of a local community organization? *
If yes, what is the Organization Name?
If no, do you wish to join a local community organization, or start your own? *
Have you ever participated in any ASAP Organizing? *
If you have participated, please select all the activities you have participated in. *
What root cause are you passionate about? (Choose all that apply.) *
Which systems change issue most interests you. (Choose only one.) *
What is your educational attainment (We ask this question because we want to be able to better understand what role, if any, formal education plays in societal change. This also gives us the ability to put you on the desired team in the VECC Collective, and provide a relevant and responsive curriculum.)
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Class Registration (Please select the Classes that you wish to take below. For your first cohort, please choose no more than 6 classes. This would be 1 new class each month for 6 months. The classes meet once a week on Tuesdays at 6pm via zoom. Someone will contact you from ASAP to confirm your class schedule. Please verify that your e-mail and phone number are correct, as that will be our primary form of contact.) *
Would you like to donate? ASAP is a non-profit 501(c)3 that functions through grant funding and crowd sourcing. ASAP also has a Giving Society called The People Machine. If you'd like to donate text "ASAP" to 25225 after submitting this form. Thank you!
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