Please fill out the form below to join our Racial Justice Community.

Additional information about our community can be found here

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* 1. Please fill out your contact information

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* 2. Please select your membership level.
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You will pay at the end of this survey.

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* 3. Are you joining as part of a community, team, or organization?

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* 4. Which affinity groups would you be most interested in?

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* 5. If interested in dedicated coaching, please select your desired number of hours.

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* 6. Would you or your organization be interested in applying for a scholarship?

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* 7. I am:

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