HartSem Multiracial Interfaith Dialogue on Race & Racism: Interest Form

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Welcome! We are planning to host a series of virtual multiracial interfaith dialogues on race and racism for the Hartford Seminary community. We hope that these dialogues will provide an opportunity for reflection, learning and growth to strengthen our community and foster greater racial justice. Please fill out this short form to tell us about your interest and availability to help plan and/or facilitate these online dialogues.

Name: *

Email address: *

Are you interested in helping to plan this dialogue series? (Stipends may be available.) *

Yes

Maybe - I'd like to learn more first.

Other:

Are you interested in serving as a facilitator, co-facilitator or presenter for this dialogue series? (Stipends may be available.) *

Yes

Maybe - I'd like to learn more first.

Other:

Are you interested in participating in this dialogue series? *

Yes

Maybe - I'd like to learn more first.

Other:

What is your Hartford Seminary affiliation? *

What is your racial identity?

What is your religious or worldview identity?

Please share any additional questions, comments or concerns here:

Submit

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