Preliminary Registration for the 2019 21-Day Racial Equity Habit-Building Challenge
For all you early birds who want to make sure you get signed up for the April 2019 21-Day Racial Equity Habit-Building Challenge! Please share your information with us and rest assured, it will only be used for the Challenge!
Your First Name *
Your answer
Your Last Name *
Your answer
Town/City Where You Live *
Your answer
State/Province *
Your answer
Country Where You Live *
Organization / School / Network affiliation (if applicable)
Your answer
Are you interested in organizing a small group of Challenge participants at your school/organization that might want to do the Challenge together? We are putting together a "facilitator's guide" that could be helpful. (This is not a firm commitment from you, just an expression of interest).
Please indicate how you identify yourself. (Check all that apply) *
Required
What food system area(s) or issue(s) are you focused on in your work/studies/volunteerism? (Check all that apply) *
Required
How many times have you participated in the Challenge? *
How would you describe your experience doing work regarding diversity, inclusion, and equity (including supporting this work as a consultant/trainer or doing this work as part of a group/organization)? *
Why are you participating in the Challenge? What goal(s) do you have for your participation?
Your answer
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