Thank you for your interest in attending PINK Institute's Bold Conversation. Please complete the following application to participate in the Spring offering of this 6 session journey. We would like learn a bit about you, your goals for attending, and how you might use this work. In addition, we are asking some identification questions because we intentionally want to foster an intentionally diverse learning community.

Once your application is accepted, we will send you payment options for the $899 participantĀ fee for one or $799/each for 2+ participants. (Limited to 30 participants)

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* 1. Your contact info:

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* 2. We do not make assumptions about gender identity based on presentation; please share your pronouns (for example: they, she, he, I prefer you just use my name)

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* 3. We know racial identity can be complicated; however this journey is specifically designed for participants who identify as white or as a person of color. Please indicate which group best describes your experience in the world:

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* 4. We will be serving continental breakfast each morning, what do you need us to know about your food needs?

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* 5. We want to ensure an accessible learning environment. As we select meeting rooms and plan content, what do we need to know about your physical/cognitive needs and abilities? Put another way, what would help you do your best learning?

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* 6. Have you taken the Intercultural Development Inventory (IDI) before? If yes, how recently?

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* 7. Tell us about your interest in attending this workshop?

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* 8. What is one leadership challenge you are experiencing in your work/community as it relates to race?

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* 9. What is one leadership opportunity you are experiencing in your work/community as it relates to race?

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* 10. How do you plan to utilize the information and skills learned during this workshop?

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* 11. This workshop will be most successful if...

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* 12. How did you learn of PINK Institute?

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