About YOU (Coaching)

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Email *

First Name *

Last Name *

Race/Ethnicity (This question is pertinent because the approach for support differs for white folx and Black Indigenous People of Color (BIPOC) *

Birthdate *

YYYY

What are you pronouns and/or gender identity? *

Why do you want to be coached? *

How versed are you in talking about issues of race? *

1- I have never or avoid it

2- I am aware of racism and other forms of oppression

3- I am more than aware, we know racial justice is important but we don’t know how or what to do about it

4- I have taken some collective action and engage in learning pretty regularly

5- I could lead conversations about race, regularly engage in learning and collective action, our staff of color feel included and heard

N/A

Please explain your answer to the previous question *

Why do you think I might be the coach for you? *

Please share a date around which you would like to have your first session and times of the day that work best for you to have 55 uninterrupted minutes of YOU time. *

Do you have any questions or anything you would like me to know before we meet? *

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