Equity and Community Engagement Learning Collaborative Interest Form

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Thank you for your interest in joining CHAI Equity and Community Engagement Learning Collaborative. Please, take a moment to fill in and submit the form below

电子邮件地址 *

Your name: *

Your organization: *

Your role: *

Organization or personal website, if applicable: *

Who from your team do you want to represent your organization on this collaborative (1-2 people): *

Briefly describe the stage of your current Diversity, Equity and Inclusion work: *

What does your desired programming for BIPOC and LGBTQ aging communities look like? *

What do you hope to learn, accomplish or achieve by participating on this collaborative? *

Describe how you would contribute to this goals of this collaborative: *

您回复的副本将通过电子邮件发送到您提供的地址。

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