Pre-Registration Form - "Towards Liberation"

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Thank you for filling out these questions to help us with planning the workshop! Filling out this form does not guarantee participation in the workshop. There is a capped limit, as well as other requirements for attendance. We will be in contact with people about registration once the link is available. Only those who have already filled out this form will be able to register.

We have to make a decision on 100% moving forward with the workshop on December 22, 2022. In order to do this, we must have a better understanding of the interest in the workshop. To aid in our decision, please do your best to fill out this form by December 15, 2022. If we do not receive enough responses, we may need to cancel the workshop.

Name *

Best Contact Method (add your email or best phone number) *

Please share your Monthly Meeting or your Quaker affiliation. *

Did you register for the original workshop? *

Yes

Please choose one. *

I am definitely interested in attending this workshop.

I have questions before I make a decision.

I was registered for the original workshop and do NOT want to attend this one. I understand you will contact me about next steps.

This training is designed to be multi-racial and multi-cultural and we want to understand the demographic make-up so we can support a diverse group of Quaker participants.

The list includes both race and ethnicity; please chose the one option you most identify with. If you prefer, please type how you identify into the "other" box. (I'm sorry I can't change it from other! I wish I could. You're not "other"; you're just picking another option from what's listed.)

Please note that additional questions about identity, such as gender, will be covered on a future form.

White

Black or African American

Indigenous

Latine/x/o/a or Hispanic

Asian, Native Hawaiian, Pacific Islander

MENA

Other:

There are two components to the training: individual learning lessons and group discussions. The individual learning lessons are done by visiting a website that acts as a hub (a browser-based learning system) and interacting with varied content, including quizzes, links, videos and downloads. Group discussions happen over a zoom. You will not be able to participate in either component with only a smartphone.

We are planning to host at least 1 webinar teaching people how to access everything needed from a technical perspective, details forthcoming. So that we have a good idea of how people are feeling, please check all that apply for your technical needs.

I have a computer or tablet and feel confident about the technical part of attending once someone briefly explains the LMS.

I have a computer or tablet, but need extra support about the technical part of attending, either because I know I have issues with actually connecting or generally struggle with new technology.

I do not have a computer or tablet, but am very interested in participating and need assistance to find a way.

I am very nervous about attending because I do not typically do technology-based learning and want to talk to someone before making a decision.

I have taken an online, self-paced learning class before.

We are considering having "learning pods" for the "individual" lessons in-between the group discussions.

I will do all of the in-between lessons independently.

I am interested in a virtual "learning pod".

I am interested in an in-person "learning pod."

I would be interested in being a "learning pod" group leader.

Clear selection

Here are some of the questions or comments I have about this workshop.

We'll reach out to everyone individually to provide answers at the "best contact method" you provided, but we may also add generic responses to the FAQ Sheet.

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