SJTI Professional Institute Application - June 2024
June 10-14, 2024 - Columbus, OH. Application deadline is Saturday, April 6.  Selection emails will go out the week of April 15, 2024.  Please make sure the email sjtiadmin@sjti.org is cleared for your email system and/or be prepared to check your junk email.  Do not make travel and accommodation plans until you have received an invitation to the session.  
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First Name *
Last Name *
Pronouns *
Position/Title *
Describe your responsibilities *
Institution or place of work *
Work Address - Street *
Work Address - City *
Work Address - State *
Work Address - Zip Code *
Work Phone *
Phone number must follow the following format: xxx-xxx-xxxx.
Cell Phone *
Phone number must follow the following format: xxx-xxx-xxxx.
Email *
I understand that I must be up-to-date with all available COVID-19 vaccines and boosters by July 27, 2024 in order to participate and that I may be asked to present my vaccination card for verification during program registration on June 10. *
Required
Have you applied to SJTI before? *
If you've applied to SJTI before, were you accepted and had to decline? *
Is anyone else applying from your institution or organization? *
If you answered yes to the question above, please list names
Scholarships
Each year, we offer a limited number of $150.00 scholarships that will be used to offset the cost of the institute. These scholarships are based on financial need. We are hoping to model the concept of "Ubuntu", the honoring of the community over the individual and the sharing of resources for the good of all. In this spirit we ask that you reflect on needs in relation to those of others. If you are interested in this scholarship, please complete this section of the application.
Would you like to be considered for a $150 need-based scholarship? *
If you answered yes to the question above, why?
Social Identities
Do you identify as multiracial or monoracial? *
Multiracial: I identify as someone with a heritage of two (biracial) or more races.     Monoracial: I identify as someone with a heritage of a single race
How do you identify racially/ethnically? *
If biracial/multiracial, please note that and then include all racial groups that comprise your heritage
Gender Identity: *
Age: *
Sexual Orientation: *
Religion/Spirituality: *
Socioeconomic Class of Origin: *
Nationality: *
Ability/Disability: *
List any other social identity group memberships that you feel are relevant to your work as a racial/social justice educator or practitioner on issues of race and racism: *
Short Answer Questions
Describe your experience as a racial/social justice educator or practitioner exploring issues of race and racism (intended outcomes; how long; target populations; general formats for sessions; ways to engage resistance; etc.): *

Share your understanding of race dynamics and white supremacy in your organization and in society today; and share the competencies you hope to deepen during the institute to navigate those dynamics.

 *
Given the deep intra and interpersonal work of the institute, what skills and practices do you use to navigate triggering or activating moments/situations around race and racism? What skills and practices would you like to further develop to navigate such moments in healthier and more productive ways? *
How did you hear about SJTI? *
Please list specific names and institutions/organizations
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