RJI 2020 Application

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First Name *

Last Name *

Birth Date * +

Gender *

Any preferred pronouns?

What is your race? *

What is your ethnicity? *

Organization *

Title *

Address 1 *

Address 2

City *

State *

Zip *

Contact Phone Number *

Email Address *

How did you hear about RJI?

Please identify individuals who are applying as part of your equity team: *

References. List the names, phone and emails of two references familiar with your work. Reference 1 Name: *

Relationship *

Email *

Phone number *

Reference 2 Name *

Relationship *

Email *

Phone number *

Confirmation of Support. Upload your completed 'RJI 2020 - Executive Director Confirmation Letter' (format accepted is PDF). Letter can be downloaded here. *

List up to 4 people at your organization--not applying as part of your equity team--who have the positional authority to provide critical support to this initiative. Please provide their name, title, and email address. *

In what Region do you work?: *

What current advocacy issues do you work on? (Pick up to three): *

1. What experiences have you and your team members had working on racial equity issues? (If applicable, please share a link that illustrates any work you or your organization has done.) *

2. Who have been some of your community partners in working on racial equity issues and how do you work with them? *

3. What skills, strengths or success stories will you bring to this year's cohort? *

4. What specifically do you hope to learn or gain by participating in the Institute? How do you hope to apply what you learn from the Institute? *

5. Please tell us a bit about your proposed racial equity team: Do you have experience working together? How do you know each other? Why are you choosing to work together? What unique perspectives or strengths do individual team members bring to the group? What opportunities and challenges do you anticipate in working together? *

6. What initial thoughts does your proposed race equity team have for your team project scope? *

7. What challenges or opportunities do you anticipate in moving a race equity initiative forward? *

8. Are you able to fully commit—both individually and organizationally--to all of the participation requirements as described on this webpage? How will you adjust your current schedule to make time to fully participate? *