Registration form for ARC OF CHANGE
The Kehilla Arc of Change is a year-long, intensive anti-racism program that engages leaders across the Kehilla community to reflect, learn together, plan, and implement institutional practices and changes to build our community in alignment with our values around racial equity and anti-racist organizational change. This new Arc of Change is part of Kehilla’s existing Belonging and Allyship project, which launched in 2017 to address white supremacy and racial justice internally within Kehilla, at all levels of our organization and community.

Please only fill out this form after carefully reviewing the program information at http://kehillasynagogue.org/arc-of-change-registration/

This form must be submitted by noon on Monday, February 8.
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Электронная почта *
Name *
Phone number *
Email *
Participants will be organized into six Working Groups below, based upon identity or role in the community. Please check boxes below to indicate all areas of the Kehilla community in which you are currently or plan to be involved, and want to apply these learnings. Everyone will be placed in one Working Group, though a few exceptions will be made, mainly for People of Color: *
Обязательный вопрос
Please take a few minutes to reflect on the questions below, and share 1-2 sentences per question.
Where are you currently leading at Kehilla, or where would you like to? *
What excites you about participating in this program? *
What experiences, skills, commitments, or other assets can you bring to this program? *
How can you imagine using this initiative to impact your work at Kehilla? (Help change policies, structures? Engage new members? Lead trainings? Other ideas?) *
Time Commitment
This is a powerful project, and it also requires a significant time and energy commitment on your part - possibly 5-10 hours/month in-between day-long trainings. Will you have any challenges with this commitment? *
We ask you to participate in four training sessions, each made up of an all-group training and a facilitated Working Group meeting - sometimes spread over two days. There will also be outside readings and additional Working Group meetings. Please check the boxes to commit to the meeting dates:
Please review these requirements carefully. Check the boxes to indicate your commitment to these agreements. *
Обязательный вопрос
Please tell us which constituencies/identities apply to you (this may be used for setting up small groups based on identity, and to ensure representation in programming):
Race
Ethnicity (Mizrahi, Sephardic, Ashkenazi, Other)
Class background (working class/raised poor, middle class, owning/wealthy, mixed class, other)
Age
Sexual Orientation
Gender
Parenting
Do you have any accessibility needs that we should be aware of? Please describe and provide any information about what is useful to support your inclusion and participation, particularly in a virtual (Zoom) setting:
Do you have access to a computer, tablet, or smart-phone, as well as steady internet, to be able to use Zoom? *
Do you know how to use Zoom? If you are aware of any specific challenges you have had with using Zoom, please share those here: *
Volunteer roles. It takes a village! Are you interested/willing to help in any of the following ways?
Registration fees: The actual cost of the program is $545 per participant, and the sliding scale for registration fees is $150 - $1000. No one will be turned away for lack of funds. People of Color and Kehilla staff will not be charged for participating in the Arc of Change. No fee is due at this time, but please think about what you will pay. All applicants will be notified by February 16 if we are able to accept you into this training. If accepted, your registration fee will be due by February 25.
Is there anything else you want us to know?
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