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. (Required.)

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

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3. What is your title? (Required.)

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4. What is your email? (Required.)

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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? (Required.)

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9. How long have you worked in Public Media? (Required.)

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

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11. How often would you like to meet? (Required.)

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12. What are you primarily looking for in this space? (Required.)

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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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