2018 Statewide Health Equity Gathering

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* 1. To help us determine the gathering objectives, please let us know what you value most when attending a health equity and social justice statewide gathering? (select up to 3)

Networking

Relationship building across communities

Engaging in dialogue with one another

Peer sharing of organizing tools

Peer sharing of community knowledge

Interactive activities

Coming together around a common goal

Listening to presentations

Other (please specify)

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* 2. Which one word describes how you want to feel when you attend a health equity and social justice statewide gathering?

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* 3. The HEP team and planning committee deeply values the interests of our partners. To help us inform the content for the gathering, please let us know what your top three interests related to health equity and social justice are.

Interest 1:

Interest 2:

Interest 3:

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* 4. The HEP team and planning committee deeply values the strengths, gifts, and skills of our partners. To help us inform the content for the gathering, please share three of your strengths, gifts, and/or skills.

Gift or Skill 1:

Gift or Skill 2:

Gift or Skill 3:

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* 5. The HEP team and planning committee deeply value your strengths and skills and would like for you to be actively engaged as a leader in the 2018 Statewide Gathering. Please let us know if you and/or your team would be interested in taking on one or more of the following leadership roles at the gathering (select up to 3).

Prep for the gathering: Serve on the planning committee (must commit to planning sessions once a week for nine weeks)

Serve as the master of ceremony (MC)

Conduct an opening

Lead an ice breaker

Lead an energizer

Facilitate a large group discussion

Facilitate a small group discussion

Facilitate an interactive activity

Share a poem

Conduct a closing

Share how to utilize art for social justice (zines, infographics, videos, murals, theatre, etc.)

Share research methodologies

Share community organizing tools

Share community mapping tools

Share a short film you’ve created

Other (please specify)

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* 6. Please share a creative idea you would like to see implemented at the 2018 Statewide Gathering and/or any other feedback.

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* 7. Are you interested in attending/receiving more information about the Grassroots Institute for Fundraising Training taking place at Northern New Mexico College in Espanola on Saturday, October 20, 2018? The gathering will be co-hosted by New Mexico Women.org, Chainbreaker, and HEP.

Yes

Maybe

Question Title

* 1. To help us determine the gathering objectives, please let us know what you value most when attending a health equity and social justice statewide gathering? (select up to 3)

Question Title

* 2. Which one word describes how you want to feel when you attend a health equity and social justice statewide gathering?

Question Title

* 3. The HEP team and planning committee deeply values the interests of our partners. To help us inform the content for the gathering, please let us know what your top three interests related to health equity and social justice are.

Question Title

* 4. The HEP team and planning committee deeply values the strengths, gifts, and skills of our partners. To help us inform the content for the gathering, please share three of your strengths, gifts, and/or skills.

Question Title

Question Title

* 6. Please share a creative idea you would like to see implemented at the 2018 Statewide Gathering and/or any other feedback.

Question Title

* 7. Are you interested in attending/receiving more information about the Grassroots Institute for Fundraising Training taking place at Northern New Mexico College in Espanola on Saturday, October 20, 2018? The gathering will be co-hosted by New Mexico Women.org, Chainbreaker, and HEP.

Question Title

* 8. Name, Organization, and Contact Info