LiberTEA Collective Application Cohort III
Please complete all sections to the best of your knowledge. Applications will be reviewed as they are received. After review, you will receive an email to submit additional information (personal narrative and headshot) and schedule your interview.
A training fee is associated with the program. Please see question below regarding the fee scale of $300-0. Scholarships are also available.
Attendance Policy: Participants are REQUIRED to attend all sessions, barring any emergencies or illness. If you cannot commit to the following dates, please consider participating in a future cohort:
January 21-23, 2022 (In-person)
Session 1: Healing Retreat/Self-Love Is Community Love
January 27, 2022 (Virtual)
Session 2: Freedom Ain’t Free: The Fight for Black Freedom,
February 3, 2022 (Virtual)
Session 3: Don’t Hate the Player, Hate the Game: Civics 101
February 11-13, 2022 (In-person)
Session 4: Can’t Create Change From the Sideline: Running for Office/Working with a Campaign
Session 5: This Ain’t A Spectators Sport: Movement Building and Disruption/Direct Action/Organizing
February 17, 2022 (Virtual)
Session 6: Behind the Scenes: Movers, Shakers, and Gatekeepers: Boards and Commissions/Government Positions/Civil Service/Roles within Government
February 24, 2021 (Virtual)
Session 7: Your Seat Ain’t Safe: Advocacy and Lobbying
March 5, 2022 (In-Person)
Session 8: Graduation
Application Deadline: November 30, 2021 11:59 p.m.
The purpose of this application and training is to empower Black Tennesseans regardless of their knowledge or experience with the content. Admission into the Collective is not based on income, background, age, sexual orientation, religion, or access to technology.
If you need assistance completing the application or have any questions, please do not hesitate to reach out to the LiberTEA Collective Coordinator Terrica Arnold,
Sign in to Google
to save your progress.
Name (First and Last)
Address (Street name, city, zip code)
Prefer not to say
Short Bio about yourself. Please include your occupation, passions, hobbies.
Please check all your areas of interest.
Movement Building and Organizing
Running for Elected Office
Working on a Political Campaign
Serving on a Government Board
Lobbying and Advocacy
Voting Rights Legislation
Environmental Justice and Land Use
Housing and Transportation
Who can vouch for your character? (Include name, email, phone number of 2 people)]
If you could be a rapper, activist, or one of our ancestors, who would you be?
Please confirm that you are committed to completing this training on the following dates. In-person meetings will also include childcare: January 21-23, 2022 (In-person); January 27, 2022 (Virtual); February 3, 2022 (Virtual); February 11-13, 2022 (In-person); February 17, 2022 (Virtual); February 24, 2021 (Virtual); and March 5, 2022 (In-Person Graduation),
I confirm that I am committed to attending all sessions on the dates listed.
I cannot attend the sessions on the dates listed.
Virtual interviews will take place June 4th, 7th, 8th 2021. Please indicate your top 2 preferred interview dates and times.
December 6, 2021 8am
December 6, 2021 9am
December 6, 2021 11pm
December 6, 2021 12pm
December 6, 2021 1pm
December 6, 2021 2pm
December 7, 2021 8am
December 7, 2021 9am
December 7, 2021 12pm
December 7, 2021 3pm
December 8, 2021 8am
December 8, 2021 9am
December 8, 2021 10am
December 8, 2021 11am
December 8, 2021 12pm
December 8, 2021 1pm
December 9, 2021 10am
December 9, 2021 11am
December 9, 2021 12pm
December 9, 2021 1pm
December 9, 2021 2pm
I need an interview after 5pm on December 6, 2021
I need an interview after 5pm on December 7, 2021
I need an interview after 5pm on December 8, 2021
I need an interview after 5pm on December 9, 2021
A training fee is associated with this program in the amount of $300. However, we do not want to block anyone from this opportunity. The sliding scale fee is $300-0. Please indicate below how much you can invest in your training. We value your honesty.
Will you need lodging to attend in-person sessions in Nashville?
Will you need childcare? If so, please provide age of child(ren)?
Please list your social media handles, if you have them. (Facebook, Instagram, LinkedIn, Twitter, SnapChat, TikTok)
If there is anything else you would like to share with us, please do so below:
If you were referred to this program, please provide the name of the individual below:
Never submit passwords through Google Forms.
This form was created inside of The Equity Alliance.