Environmental Justice Leadership Network™ Application
​New Voices for Reproductive Justice is looking for dynamic and engaged women and femmes of color leaders to participate in our first cohort of the Environmental Justice Leadership Network™ (EJLN). Th​e​ goal of this network is to build a regional movement for Environmental Justice by providing leadership development opportunities and support for individuals invested in expanding Environmental Justice for Black women, femmes and girls, women of color and LGBTQ+ people of color in Southwestern Pennsylvania.

The EJLN starts in mid-October and will run for 8 weeks. Be part of the first class!

***Program Dates***
Session 1: Thursday, October 11
Session 2: Saturday, October 20
Session 3: Saturday, October 27
Session 4: Saturday, November 3
Session 5: Saturday, November 10
Session 6: Saturday, November 17

There is no cost to participate in this program. Meals will be provided. Childcare and transportation will provided upon request. Each participant will receive a small stipend.

Please complete this form and email a copy of your resume to Ciora Thomas, Environmental Justice Leadership Network™ Coordinator, ciora@newvoicespittsburgh.org by October 5, 2018 so that we can get a sense of who you are, the conditions for Black women, femmes and women of color in your community and your interest in advancing Environmental Justice and Reproductive Justice!

If you have any questions, please contact Ciora Thomas, Environmental Justice Leadership Network Coordinator™, at ciora@newvoicespittsburgh.org or 412.363.4500 or 412.450.0290.

#NewVoices4RJ #EnviroJustice #ReproJustice #EJLN #EJEx #TrustBlackWomen

First Name *
Last Name *
Nickname (if preferred)
Phone Number *
Email *
Address 1 *
Address 2
City *
State *
ZIP Code *
Do you identify as a Black woman or femme/woman of color or femme of color? Note: You must identify as such to participate in EJLN. *
Date of Birth (mm/dd/yyyy) *
Age *
Race *
Required
Gender *
Required
Gender Pronouns *
Required
Tell us more about YOU and your concerns for our environment and our health. *
Will you need childcare during sessions?
Any additional information you'd like to share?
Application
Please complete thoroughly
Whats most important to you? Please choose your Top 5. *
Required
Why are you interested in joining the New Voices Environmental Justice Leadership Network™? What excites you the most? *
What experience do you have working in Environmental Justice, with Black women, femmes and girls, LGBTQ+ communities and/or in social justice movements? *
What do you hope to bring (skills, culture, perspective) to the New Voices Environmental Justice Leadership Network™? *
What do you expect to take away from your participation in New Voices Environmental Justice Leadership Network™ (networking, skill building, relationships, etc.)? *
Are you currently connected to or leading any Environmental or Reproductive Health, Rights, and Justice efforts? *
In your own experience, what do you feel are the most critical issues affecting your community/city/state? *
Please remember to email a copy of your resume to the Environmental Justice Leadership Network™ Coordinator, Ciora Thomas at ciora@newvoicespittsburgh.org. *
Required
Once we receive your materials we will follow up with a brief 30-minute in-person or phone interview. Please indicate what time of day is best to call. *
Time
:
Thank You for your interest in New Voices Environmental Justice Leadership Network™!
Submit
Never submit passwords through Google Forms.
This form was created inside of New Voices Pittsburgh. - Terms of Service