Information collected on this forum will be kept private and utilized for this cohort only. 

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* 1. Please share your full name here.

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* 2. What station(s) or organization(s) do you work with?

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* 3. What is your title?

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* 4. What is your email?

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* 5. Please share your phone number.

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* 6. Do you identify as BIPOC?

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* 7. Please share your Pronouns.

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* 8. Are you the first person in your role?

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* 9. How long have you worked in Public Media?

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* 10. Are you the only full-time paid DEAIB staff member at your organization?

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* 11. How often would you like to meet?

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* 12. What are you primarily looking for in this space?

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* 13. If you ranked "something not listed" above 4th (or would like to add to our list), please share your thoughts below.

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