AS220 Racial Justice Initiative
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What is your name?
What are your preferred pronouns?
What is your racial identity?
Black or African American
Indigenous or Native American
If you chose a race other than Latinx, do you also identify as Hispanic, Caribbean and/or Latinx?
How are you connected to AS220 and/or the Providence Community?
What excites you about AS220's Racial Justice Initiative? Why do you want to participate?
How do you want to participate in this Initiative?
Just keep me in the loop (via email) as things progress.
I'd like the opportunity to provide feedback to the working groups.
I'd like to participate in the work through the working groups.
How would you like us to contact you (email / phone / social)? Please provide contact info.
If you'd like to participate in a working group, which one? (see intro above for descriptions)
Not sure yet
Are you interested in leading one of these working groups?
Not sure yet
Are you available to meet 1-2 hours per week or biweekly over the next year?
Need more information
What days are you most available?
What time of day are you most available?
Any other general comments on AS220's Racial Justice Initiative, or thoughts on what you'd like to work on through this Initiative?
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