Building Latino Leadership to Challenge Structural Bias
About You
Name: *
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Organization: *
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Age: *
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Gender: *
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Sexual Identification: *
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Email: *
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Phone #: *
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Identity
1. How do you identify yourself racially? *
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2. How do you identify yourself culturally? *
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3. How do you identify yourself ethnically? *
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4. Another difference you hold:
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Retreat Interest
1. Why do you wish to attend? *
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2. What knowledge about this topic do you bring? *
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3. What is the racial diversity within the Latino community that you work and/or live in? *
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4. Does intersectionality impact your professional and/or personal life? *
If so, how?
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5. Are there challenges you currently face at work and/or at home that this workshop can help address? *
If so, what are they?
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6. Is there anything else you want to share that is relevant for us to know?
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7. Are you willing to commit to full and active participation for the entirety of the training? *
No scheduled calls, meetings, etc.
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8. Which training location(city) would you like to attend? *
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