2015 Environmental Justice Learning Group Registration

1. 2015 Environmental Justice Learning Group - Registration Form

25% of survey complete.

Hello and welcome! You're invited to join the 2015 Environmental Justice Learning Group with the Social Justice Fund NW. Please take a few minutes to fill out the registration form.

This registration form includes 3 parts:

1) Your contact information,
2) Optional demographics, and
3) Information about your experience and skills in Environmental justice (FYI: There is NO minimum or maximum level of expertise required to join a Learning Group! It's a Learning Group, after all. We'll use this information to better prepare for each session.)

You will receive a welcome email with your confirmation and details about the first meeting by mid-July.

If you have any questions regarding this form, please email Yasmeen Perez at yasmeen@socialjusticefund.org or call our office at 206-624-4081 x103.

NOTE: This is a multi-page survey! Please click 'next' at the bottom of the page to complete the survey.

Thank you! We're looking forward to working with you.

Question Title

1. Participant's Contact information (Required.)

Name:

Address:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

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2. I am registering for the following Learning Group:

Environmental Justice Learning Group (July 22nd, August 13th, and October 15th, 2015)

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3. I confirm that I have reviewed all Learning Group dates. I am available for all meeting dates and will attend.

* The Environmental Justice Learning Group Reader will be available on July 8th*

Wednesday, July 22 | 6-9 pm
#1: Study Group Session
• An introduction to Social Justice Fund and the Learning Group
• Build a shared framework of Environmental justice and racial justice
• Group discussion based on the texts/videos in the Environmental Justice Learning Group Reader
• Learn about making a meaningful gift and basic fundraising

Thursday, Aug 13 | 6-9 pm
#2: Public Event: "The Front Lines of Change: Climate Justice & Communities of Color"
• Continue to learn about climate in-justice and communities of color, and the movement led by "front line" communities to organize for environmental and climate justice.
• Meet organizers and other SJF members
• Learn about other ways to get involved with SJF and environmental justice organizing

Thursday, October 15 | 6-9 pm
#3: Celebration
• Celebrate our success with members of the 2015 Environmental Justice Giving Project
• Meet SJF's 2015 Environmental Justice grantees

(Required.)

Yes

I have a conflict (Please explain in comments)

Comments

Question Title

4. I understand that by registering for the Environmental Justice Learning Group I will...

- Participate in a study group style learning session, including reading a small selection of texts.
- Attend and invite others to join me at the public event which will be a fundraiser benefit for the Environmental Justice Giving Project
- Make a meaningful gift to support the Environmental Justice Giving Project
- Have conversations with 2 people about Social Justice Fund and ask them to support the Environmental Justice Giving Project
(Required.)

Yes - I'm excited!

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* 1. Participant's Contact information (Required.)

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* 2. I am registering for the following Learning Group:

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Question Title

1. Participant's Contact information (Required.)

2. I am registering for the following Learning Group: