ARTF Champion Team Interest Form

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Please complete this Anti-Racism Task Force Champion Team Interest Form if interested in training and engagement with this task force. Thank you.

Email *

Please provide your first and last name. *

Are you?

Clergy

Retired Clergy

Lay

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Please provide your home address. *

Please provide the name of your church and what town/city it is in? *

What district is your church in?

Lake North

Lake South

Prairie Central

Prairie North

Prairie South

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Please provide your cell phone number. *

Please let us know how you found out about the Champion Team. For example, give the name of the person who referred you or was it through your District's Shepherding Team, the weekly eNews, the monthly Reporter, or elsewhere?

Acknowledgment of Understanding

By completing this form, you understand that Anti-Racism Champion Team Members are:

• Passionate about dismantling systemic racism within our church and society
• Willing to engage through prayer, training and dialogue, and outreach over the next 18 – 36 months
• Willing to participate in bi-monthly (every other month) whenever possible to stay informed.
• Prayerful and discerning about God’s desire in doing this work

Members are encouraged to take the Becoming the Beloved Community workshop offered by the conference.

Thank you for your support and interest.

Nadia Kanhai
NIC Anti-Racism Task Force Chair
AntiracismTF@umcnic.org

By completing this form, you acknowledge your understanding of and agreement with the above Acknowledgment of Understanding. *

Yes

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