PVP Tools for Racial Equity Cohort Registration Form- Students
Thank you for registering for our upcoming Tools for Racial Equity Student Cohort!  All sessions will take place in person at PVP's office at South Congregational Church, 45 Maple Street.  The session dates are Saturday, May 11th, 11 a.m. - 3 p.m., Thursday, May 16th, 3:30 - 5:00 p.m., Thursday, May 23rd, 3:30 - 5:00 p.m., Thursday, June 6th, 3:30 - 5:00 p.m., Thursday, June 13th, 3:30 - 5:00 p.m.  Food will be provided at all sessions.  Stipend available for cohort members who attend all sessions.  Please contact PVP at 413-214-5100 with any questions.  See you on May 11th!
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Email Address *
Full Name (first and last) *
Home Address *
Phone Number *
What school do you attend? *
Why do you want to participate in the Tools for Racial Equity Cohort? *
Emergency Contact Name and Relationship *
Emergency Contact Phone Number *
Do you have any specific dietary needs?  *
How did you hear about this training? *
Are you committed to working with people from different backgrounds, remaining open to different viewpoints and lived experiences and creating space for all participants to fully engage in ongoing shared learning about systems of oppression and taking action to build collective power? *
Are you interested in learning more about PVP's Teen Leadership Team? *
Do you follow us on IG @pvp_youthvoicesunited or on TikTok @pvpspringfield? *
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