#BlackAtNU Endorsement Form

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Please submit this form to endorse the #BlackAtNU platform. You may endorse the platform either as an individual Northeastern student, faculty, or staff member, or you may endorse the platform as an Organization or Department. Non-Black supporters should include a Pledge of Allyship & Accountability that details how you intend to combat Anti-Blackness in your own community and how you will hold yourself and others accountable to that change.

By submitting this form, you are officially signing on as a sponsor of this platform.

Email *

Name *

Do you identify as a Black? *

Yes

Why do you choose to endorse the #BlackAtNU Platform?

If you are a non-Black ally, how do you plan to combat anti-Blackness in your community? How do you intend to hold yourself and others accountable to making these changes?

Are you endorsing as an individual or as part of an organization/department? *

Individual Northeastern Community Member

Organization or Department

If endorsing as an organization/department, which one?

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