Pittsburgh Presbytery Anti-racism Transformational Team Application
Date
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Name *
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Address & Zip Code *
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Home Phone *
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Work Phone *
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Cell Phone
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Email *
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Gender:
Age:
Please check the racialized category by which you are societally identified:
Please describe your interest in being on the Pittsburgh Presbytery Transformational Team. *
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Please list or describe qualities that would make you a valuable addition to this team. *
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Do you have a network of connections, associations, affiliations or other relationships with the Pittsburgh Presbytery? If so, please describe, including offices you may have held or are holding. *
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Please describe your experiences in any formal or informal anti-racism organizing, activities or training. *
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Please indicate the areas in which you are interested and/or experienced. *
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Do you have a disability that requires accommodation, & if so, what accommodations do you need?
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Are there additional ways that we could help ensure your participation on this team?
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I understand that my willingness to be on the Pittsburgh Presbytery Anti-Racism TRANSFORMATIONAL TEAM involves full time participation in the team training process (including regular meetings and work assignments during the training year) as well as a three year commitment to the TT beyond the required training sessions as listed below. All workshop start and end times are 8 AM to 6 PM and will be held at the Pittsburgh Presbytery, 901 Allegheny Avenue, Pittsburgh, PA 15233. *
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