smartMeme

Application - Communicating Racial Justice

Weekend Workshop for Organizers & Activists

The Training Team requests that organizations send two people to this training in order to maximize the impact of this experience for the ongoing work. We will give organizations with a team of two priority when reviewing applications. THANKS!

The Training Team will review all applications and select candidates according to PCN's diversity criteria (available at http://progressivecommunicators.net/en/about) and the goals of the training. This application is confidential and the information received will be reviewed to the Training Team only. Your responses will help the Training Team prepare a welcoming and intentional space. Space is limited. Questions? Contact: Tom Louie, Progressive Communicators Network, Boston Chapter: tlouie@progressivecommunicators.net or 857-540-1316.

First Name*

Last Name*

Email*

Phone*

Street*

Street 2

City*

State/Province*

Zip/Postal Code*

Organization

While typically not required, it is important for the training environment and experience of all participants to seek multiple forms of diversity to ensure the inclusion of a board spectrum of ideas, perspectives and positions. Please describe how you identify for the following:

Primary Issues that I work on (check all that apply):

Primary Organization(s) that I work in

Role in my Org(s) (Director, organizer, communications, etc.)

Race/Ethnicity:

Gender:

Country of Origin:

Age:

Under 25
Under 35
Under 50
50 or over

Tell us about your class background:

Sexual orientation:

Please Respond to the following questions:

1. What are your goals for attending the Communicating Racial Justice Training?

2. What is your current or past experience using communications in your social change work? (i.e. organizing, informing, persuasion, campaigns, etc.) Please give specific example(s). Have you done any formal communications / media training? If so, please describe.

3. What challenges are you are currently facing regarding race/racism in your social change work? Have you done any undoing racism workshops / personal work? If so, please describe.

4. How did you hear about this opportunity?

Logistical:

Training Dates/Times are April 9-11th (Friday: 5:30-8:30, Saturday: 9-6, Sunday: 9-4)

Yes, I can commit to attend the entire training.

The sliding scale is $75-200. I/my organization can pledge $

If you are one of two people from your organization who will attend, the other person is:

Food Preferences: I am (check all that apply) -

Omnivore
Vegetarian
Vegan
Gluten-Free

Any allergies or other food restrictions we should be aware of:

Any other information that you feel is important to share: