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* 1. Name your congregation

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* 2. Email address (this will be shared with the Amos Task Force)

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* 3. What social justice ministry/ministries in the local community is the congregation involved with?

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* 4. Given the legacy of racism in the United States, if your congregation is engaged in social justice ministry, then you are likely engaged in ministry that intersects with anti-racism work.  Is this intersection being acknowledged, addressed, and if so how?

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* 5. Within the local church, does the congregation embody anti-racism practice, and if so how?

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* 6. Do you collaborate with someone or some organization in the local community in the work of anti-racism?  If so, who?

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* 7. How might you represent the congregation's placement on a continuum toward becoming a multicultural, inclusive, diverse, antiracist community?  Mark those characteristics of the stage that describe where the congregation is.

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* 8. Is there anything else that you would like to tell us about your congregation's journey toward racial justice?

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