Bayard Rustin Democracy Fellowship Program: Mentorship Interest Form
The Democracy Initiative seeks mentors and mentees for the inaugural year of the Bayard Rustin Democracy Fellowship Program. The fellowship program aims to support leaders of color to influence the democracy field for the long-term. . These staffers are innovators, rooted in culture, who develop and expand ways of thinking that challenge and expand the ability to organize targeted, marginalized, and oppressed communities to grow power. We want to increase the retention and advancement rates of Black, Brown, and LGBTQ staffers in the movement because it is imperative to move the work forward.

Email address *
Name *
Organization *
Job Title *
Number of years of experience in movement work ( issue, electoral, policy, advocacy, organized labor) *
Where are you located? *
Would you like to be a mentor, mentee, or both? *
Do you have previous mentoring experience? *
How do you prefer to communicate with your mentee/mentor? *
What days of the week are best to schedule a 30-minute call with our Program Coordinator to further discuss the program? *
Ethnic Origin *
What is your gender identity? *
What languages do you speak? *
Referral Name and Organization: *
Please provide your preferred contact number for follow up. *
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