Name *

Will you be able to make the meeting *

What school are you associated with? *

What is your relationship to Red Clay? *

Are you willing to share a testimony of your experience during the meeting? *

Do you have any pieces of work that you would like to present like poems, spoken word, written things, or even visual art. If so, Are you willing to share it with the group? Would you like for it to be shared anonymously? *

If you answered Yes above, please state what kind of work it is and give a short overview of what it represents.

Do you have any questions or concerns? If you would like to share a story anonymously, please share it below. If so, state them below and we will try and address them during the meeting. *