For The Group: List Accessor Application
Completing this form will begin the application process for access to the For The Group: Practitioners List. This list exists to uplift BIMPOC Practitioners and to create opportunities to engage with and hire them.

Please Note: The names of everyone who has access to this list will be posted publicly on our website. Personal anti-racism reflection statements will NOT be posted on the website, however we will provide links to organizational statements as a resource to our Practitioners.
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First Name *
Last Name *
This question is optional. Learn more about personal pronouns here:
Email Address *
Job Title
What is your race or ethnic background? *
Are there any other identities which you would like our committee to know about in reviewing your application?
Examples include but are not limited to: sexuality, gender identity, ability status, immigration status.
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