2024 Cohort Application

Welcome to the Embracing Equity Leadership Residency Application!

This yearlong Leadership Residency focuses on transformational change at the individual, interpersonal, and institutional levels. We look forward to learning more about you and your organization.

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* 1. First and Last Name

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* 2. Email

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* 3. Phone Number

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* 4. Organization Name

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* 5. Which best describes your professional setting?

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* 6. Which best describes your role or professional title?

Understanding You and Your Anti-Racist Leadership

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* 7. For the set of statements below, reflect on your current organization and role, and answer how strongly you agree or disagree with each.

	Strongly Disagree	Disagree	Agree	Strongly Agree
I am able to identify systemic racism in my organization.	I am able to identify systemic racism in my organization. Strongly Disagree	I am able to identify systemic racism in my organization. Disagree	I am able to identify systemic racism in my organization. Agree	I am able to identify systemic racism in my organization. Strongly Agree
I have the skills to create a strategic plan that will lead to long term sustained equity and anti-racism work.	I have the skills to create a strategic plan that will lead to long term sustained equity and anti-racism work. Strongly Disagree	I have the skills to create a strategic plan that will lead to long term sustained equity and anti-racism work. Disagree	I have the skills to create a strategic plan that will lead to long term sustained equity and anti-racism work. Agree	I have the skills to create a strategic plan that will lead to long term sustained equity and anti-racism work. Strongly Agree
I am able to identify and dismantle organizational systems and structures that result in inequitable outcomes for staff and/or students.	I am able to identify and dismantle organizational systems and structures that result in inequitable outcomes for staff and/or students. Strongly Disagree	I am able to identify and dismantle organizational systems and structures that result in inequitable outcomes for staff and/or students. Disagree	I am able to identify and dismantle organizational systems and structures that result in inequitable outcomes for staff and/or students. Agree	I am able to identify and dismantle organizational systems and structures that result in inequitable outcomes for staff and/or students. Strongly Agree
I have developed my own racial literacy and critical lens.	I have developed my own racial literacy and critical lens. Strongly Disagree	I have developed my own racial literacy and critical lens. Disagree	I have developed my own racial literacy and critical lens. Agree	I have developed my own racial literacy and critical lens. Strongly Agree
I use my own racial literacy and critical lens for all decisions, policies, and practices within the organization	I use my own racial literacy and critical lens for all decisions, policies, and practices within the organization Strongly Disagree	I use my own racial literacy and critical lens for all decisions, policies, and practices within the organization Disagree	I use my own racial literacy and critical lens for all decisions, policies, and practices within the organization Agree	I use my own racial literacy and critical lens for all decisions, policies, and practices within the organization Strongly Agree
I have the skills to utilize equity-related data to identify trends, set goals and create a concrete action plan to achieve them.	I have the skills to utilize equity-related data to identify trends, set goals and create a concrete action plan to achieve them. Strongly Disagree	I have the skills to utilize equity-related data to identify trends, set goals and create a concrete action plan to achieve them. Disagree	I have the skills to utilize equity-related data to identify trends, set goals and create a concrete action plan to achieve them. Agree	I have the skills to utilize equity-related data to identify trends, set goals and create a concrete action plan to achieve them. Strongly Agree
My role allows me to make recommendations, set goals, and create action steps for the organization.	My role allows me to make recommendations, set goals, and create action steps for the organization. Strongly Disagree	My role allows me to make recommendations, set goals, and create action steps for the organization. Disagree	My role allows me to make recommendations, set goals, and create action steps for the organization. Agree	My role allows me to make recommendations, set goals, and create action steps for the organization. Strongly Agree

Understanding Your Organizational Structures, Processes, and Procedures

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* 8. **For the set of statements below, reflect on the current organizational structures, processes, and procedures and answer where you are with implementation of each.**

	Not Yet Started	Planning Has Begun	Implemented & Have Evidence of Use	Leading & Modeling for Others
Our organization has a mission statement that incorporates anti-racism.	Our organization has a mission statement that incorporates anti-racism. Not Yet Started	Our organization has a mission statement that incorporates anti-racism. Planning Has Begun	Our organization has a mission statement that incorporates anti-racism. Implemented & Have Evidence of Use	Our organization has a mission statement that incorporates anti-racism. Leading & Modeling for Others
Our organization has an internal structure with a goal to address issues of racial equity. (For example, an equity committee or council)	Our organization has an internal structure with a goal to address issues of racial equity. (For example, an equity committee or council) Not Yet Started	Our organization has an internal structure with a goal to address issues of racial equity. (For example, an equity committee or council) Planning Has Begun	Our organization has an internal structure with a goal to address issues of racial equity. (For example, an equity committee or council) Implemented & Have Evidence of Use	Our organization has an internal structure with a goal to address issues of racial equity. (For example, an equity committee or council) Leading & Modeling for Others
Our organization has written procedures to intentionally increase the recruitment, retention, and promotion of People of Color.	Our organization has written procedures to intentionally increase the recruitment, retention, and promotion of People of Color. Not Yet Started	Our organization has written procedures to intentionally increase the recruitment, retention, and promotion of People of Color. Planning Has Begun	Our organization has written procedures to intentionally increase the recruitment, retention, and promotion of People of Color. Implemented & Have Evidence of Use	Our organization has written procedures to intentionally increase the recruitment, retention, and promotion of People of Color. Leading & Modeling for Others
Professional development and/or training on racial equity is made available to all employees.	Professional development and/or training on racial equity is made available to all employees. Not Yet Started	Professional development and/or training on racial equity is made available to all employees. Planning Has Begun	Professional development and/or training on racial equity is made available to all employees. Implemented & Have Evidence of Use	Professional development and/or training on racial equity is made available to all employees. Leading & Modeling for Others
Our organization has processes to address race-based incidents.	Our organization has processes to address race-based incidents. Not Yet Started	Our organization has processes to address race-based incidents. Planning Has Begun	Our organization has processes to address race-based incidents. Implemented & Have Evidence of Use	Our organization has processes to address race-based incidents. Leading & Modeling for Others

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* 9. What is your overall organizational budget?

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* 10. How many staff do you have?

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* 11. How many students will be directly and/or indirectly impacted by your organization's work?

Understanding Your Organization's Anti-Racism Journey

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* 12. Where is your organization on its anti-racism journey? What have you done to advance this work? What are some successes and what are your pain points?

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* 13. In 3- 5 sentences, describe why you are interested in the Leadership Residency?

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* 14. In 3-5 sentences, describe why you believe now is the time that your organization should participate in the yearlong Leadership Residency?

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* 15. If your wildest dreams around racial equity for your organization were achieved, what would we see?

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* 16. The Leadership Residency consists of the following components:

Complete the Equity Audit survey

Attend 3-day Virtual Retreat in July 2024

Set individual and organizational goals based on the Equity Audit findings

Attend quarterly Community of Practice sessions

Attend the Individual and Group Coaching Sessions

Attend some of the optional Office Hours

Can you commit to full participation in all of these program components?

Yes

Unsure

If unsure, please explain.

Understanding Your Intersecting Identities

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* 17. I identify as (select all that apply):

Asian American/Asian/Asian Pacific American

Black/African/Black American/African American/French or English Speaking Caribbean Islander/Afro Latinx

Indigenous/Native American/American Indian/Alaskan Native

Latino/Latina/Mexican/Mexican American/Chicanx/Puerto Rican/Central American/South American/Spanish Speaking Caribbean Islander/Hispanic

Middle Eastern American/Middle Eastern

Pacific Islander/Native Hawaiian

White/European/White American/European American

Bi-Racial and/or Multi-Racial

Not listed or prefer to self-describe:

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* 18. Please share your specific ethnicities in the space below. For example, Guatemalan, Korean, Navajo Nation, Pakistani, Puerto Rican, Samoan, et al.

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* 19. I identify as (select all that apply):

Agender

Gender fluid

Genderqueer

Man

Non-binary

Woman

Not listed or prefer to self-describe:

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* 20. What additional intersecting identities would you like to share? For example, ability, class, first language, health, nationality, religion, sexuality, etc.

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* 21. Is there anything else you would like to share with us?

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* 22. Can we add you to the Embracing Equity Newsletter Community?

Yes

2024 Cohort Application

Question Title

* 1. First and Last Name

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* 2. Email

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* 3. Phone Number

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* 4. Organization Name

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* 5. Which best describes your professional setting?

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* 6. Which best describes your role or professional title?

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* 7. For the set of statements below, reflect on your current organization and role, and answer how strongly you agree or disagree with each.

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* 8. For the set of statements below, reflect on the current organizational structures, processes, and procedures and answer where you are with implementation of each.

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* 9. What is your overall organizational budget?

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* 10. How many staff do you have?

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* 11. How many students will be directly and/or indirectly impacted by your organization's work?

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* 12. Where is your organization on its anti-racism journey? What have you done to advance this work? What are some successes and what are your pain points?

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* 13. In 3- 5 sentences, describe why you are interested in the Leadership Residency?

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* 14. In 3-5 sentences, describe why you believe now is the time that your organization should participate in the yearlong Leadership Residency?

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* 15. If your wildest dreams around racial equity for your organization were achieved, what would we see?

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* 17. I identify as (select all that apply):

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* 18. Please share your specific ethnicities in the space below. For example, Guatemalan, Korean, Navajo Nation, Pakistani, Puerto Rican, Samoan, et al.

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* 19. I identify as (select all that apply):

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* 20. What additional intersecting identities would you like to share? For example, ability, class, first language, health, nationality, religion, sexuality, etc.

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* 21. Is there anything else you would like to share with us?

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* 22. Can we add you to the Embracing Equity Newsletter Community?

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* 8. **For the set of statements below, reflect on the current organizational structures, processes, and procedures and answer where you are with implementation of each.**