ELLA JO BAKER MOVEMENT SCHOOL

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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.

Today's Date *

YYYY

Are you interested in becoming a Faculty-Organizer or Popular Education Facilitator with EJBMS? *

Yes

No, I am Registering as a Student

I'd Like to Learn More

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? *

Yes

If yes, what is the Organization Name?

If no, do you wish to join a local community organization, or start your own? *

Yes

I'd like to learn more.

Have you ever participated in any ASAP Organizing? *

Yes

I'd Like to Learn More

If you have participated, please select all the activities you have participated in. *

This is my first time participating with ASAP.

Student Job Training

Your Neighbor Needs You

45 Days of Action to Demand Justice

The Revolution is Local = #TRiL

The Redistricting Takeover

Fill the Chamber

Demonstration

Door-to-Door for Justice

Citizen's Roundtable/Community Congress

Grassroots Listening Session

Ella Jo Baker Movement School

Phone Banking

Neighborhood Organizing Team/"Boots on the Ground (BOG)"

VECC (Volunteers, Experts, Concerned Citizens)

SOUL (Student Organizing Uniting Louisiana)

I'd Like to Learn More

Required

What root cause are you passionate about? (Choose all that apply.) *

Inequity in Education

Health Disparity

Joblessness/Working Poor

Economic Disparity

Required

Which systems change issue most interests you. (Choose only one.) *

Systemic Crime

Poverty

Other:

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.)

K-12

Some College

Undergraduate Degree

Community College Completion

Masters

Doctorate

Clear selection

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.) *

Ella's Stories - EJBMS Orientation (REQUIRED)

Movement Leaders 101

Community Organizing 101

Voter Engagement

Government Accountability

Base-building

Grassroots Campaigns

Public Comment 101/201 (2 Classes/1 per semester in order of advancement)

Specific Issues Series (Gun Violence, Environmental Justice, Mass Incarceration, etc.)

Funding the Movement

Digital Organizing

Fund the movement

Required

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!

Yes

I'd Like to Learn More

Clear selection

Submit

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