Support Our Call To Action On Becoming an Anti-Racist Institution

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By signing this, you are supporting our call to action by the engineering community to address the systemic and structural inequities that Black people experience on university campuses.

What is your name?

In the space below, please type your name as you want it to appear on the website. If you'd like, please include any titles or credentials if relevant (e.g., John Jones, Ph.D., P.E.; Professor Janet Jones, etc.). Type "NA" if you DO NOT want your name on the website. *

Do you wish to be listed by name or anonymously? *

Yes, I want to listed by name as I typed in above.

No, I support this effort but do not feel comfortable signing my name. I wish to be counted among the anonymous signatories.

I am signing as a member of the:

Black in Engineering Community Member

Allies of the Black in Engineering Community Member

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What area of engineering best describes your background/affiliation. If not in engineering, please indicate your disciplinary background.

Email Address (for relevant correspondence, only - will not be posted on the website)

Your Company / Organizational/University Affiliation

Please choose the option that best represents your role:

Assistant Professor

Associate Professor

Full Professor

Ph.D. Student

Master's Student

Undergraduate student

Employee in Industry

Employee in Government

Other:

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Please feel free to share, in confidence, any additional comments, experiences, or stories that support your participation or highlight the need for this call to action. Your voice matters.

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