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AS220 Racial Justice Initiative
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* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
What are your preferred pronouns?
Your answer
What is your racial identity?
Black or African American
White
Indigenous or Native American
Asian
Latinx
Other:
Clear selection
If you chose a race other than Latinx, do you also identify as Hispanic, Caribbean and/or Latinx?
Yes
No
Clear selection
How are you connected to AS220 and/or the Providence Community?
*
Your answer
What excites you about AS220's Racial Justice Initiative? Why do you want to participate?
Your answer
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.
Your answer
If you'd like to participate in a working group, which one? (see intro above for descriptions)
Community
Education
Policy
Not sure yet
Clear selection
Are you interested in leading one of these working groups?
Yes
No
Not sure yet
Clear selection
Are you available to meet 1-2 hours per week or biweekly over the next year?
Yes
No
Need more information
Clear selection
What days are you most available?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What time of day are you most available?
Mornings (9AM-11:30AM)
Afternoons (12PM-4PM)
Evenings (5PM-8PM)
Clear selection
Any other general comments on AS220's Racial Justice Initiative, or thoughts on what you'd like to work on through this Initiative?
Your answer
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