Reservation Request Form: Understanding and Analyzing Systemic Racism (2.5 Day Training)
IMPORTANT NOTICE: At this time, the remaining 2017 workshops are at capacity. We will soon be adding a workshop schedule with 2018 dates. Please feel free to fill out the form with your information if you would like us to contact your once new dates have been chose.

This form is the beginning of the process to attend the two-and-a-half day "Understanding and Analyzing Systemic Racism" workshop in St. Louis. Please read through the following information before completing the form.

This training has been locally referred to as "ABAR" (Anti-Bias Anti-Racism) and over the past handful of years hosted by City Garden Montessori School, Crossroads Preparatory School and US Bancorp Community Development Corporation. The workshops are delivered by trainers from Crossroads Anti-Racism Training and Organizing.

The St. Louis workshop participants and hosts to-date have found this workshop invaluable to their work toward Racial Equity within their organizations and in the region. In an effort to collaborate and bring the workshop to more St. Louisans, they are partnering together to host workshops in 2017. Because of the workshop's focus on policy and systems, Forward Through Ferguson will join City Garden, Crossroads and US Bancorp Community Development Corporation in hosting this year's workshops.

To facilitate a single-source and collaborative registration process for the multi-host partnership, we're utilizing this form to allow seats to be open to the public while also inviting our individual organizational communities directly. The cost for participation in the workshop is $425 per person, but some organizations host clients and partners and there are some scholarships available. Therefore, payment will be taken care of separately and as a followup to the submission of this form. Each workshop can have up to 40 attendees.

The workshop is designed for organizations and focuses on the role that institutions play in perpetuating and dismantling systemic racism. Therefore, it is best experienced in groups of 2 or more from the same organization or affiliation (corporation, non profit, school, community org, church, etc). It is also strongly recommended that senior leadership/decision makers attend as part of the group or in a group prior to additional members of an organization attending. The last portion of the workshop includes articulating action steps— something that can feel fruitless to a participant without the knowledge of leadership buy-in. It can also create problems within an organization if leadership does not share the same language or baseline knowledge regarding systemic racism.

We ask that you have cleared availability with the others attending from your organization before submitting a request. The workshop is very specifically designed and therefore attendance for all parts of each of the two-and-a-half days is required.

Your First Name
Your answer
Your Last Name
Your answer
Your Organization
Your answer
Your Title or Role at Your Organization
Your answer
Racial Identity
Your answer
Email Address
Your answer
How and/or from whom did you hear about this workshop?
Your answer
What does your organization hope to get out of this workshop? What led you to consider attending?
Your answer
How many people from your organization would you like to attend?
Which dates is your group able to attend all parts of all 2.5 days of the workshop. Please select all of the sessions you know you could make (please clear ability with your group before submitting)
Required
Names, titles, email addresses and racial identity of the others attending from your organization
Your answer
Intended source of payment
Required
Notes/Questions
Your answer
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