JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
EIC Race Equity Culture™ Scholarship Application
Are you interested in advancing your understanding of race equity, but concerned about the cost of training? Our pay-what-you-can scholarship for our
Race Equity Culture™ trainings
is here for you!
You get to choose the price that fits your budget, while still receiving top-notch instruction from experienced facilitators. We're committed to making race equity accessible to everyone, and we're excited to support you on your learning journey.
To apply, please fill out this form and let us know what you can afford to pay for one of our trainings.
Please allow us 2 weeks (excluding weekends and major holidays) to get back to you.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name
*
Your answer
Email address:
*
Your answer
Organization Type:
*
Self Employed
Non-Profit, Community-Based or Grassroots Organization
Non-Profit, Hospital or Health Care Institution
Non-Profit, National, Affiliate, or Membership Organization
Non-Profit, Religious or Faith Institution
Non-profit, School or Academic Institution
Non-Profit, Other
For-Profit
Foundation or Funder
Philanthropy Serving Organization
Government Entity
Not Currently Employed
Not Listed Here
Role at the organization:
*
Board member or Trustee
Senior leader
Middle manager/supervisor
Junior staff member (non-management)
Community-facing/direct service role (non-management)
Volunteer
Consultant
Self Employed
Not Currently Employed
Not Listed Here
Which workshop are you requesting a scholarship for?
*
Choose
Awake to Woke to Work: Building a Race Equity Culture (Individuals & Small Teams Only)
Building an Equity Container
Connections Between Racial and Climate Justice
Indian 101
Intersectional Allyship for Racial Justice: A Workshop for People of Color
Intersectional Allyship for Racial Justice: A Workshop for White Allies
More than Fragility: A Deep Dive into Understanding & Dismantling Whiteness
We Can Get There From Here: Exploring Racial Liberation In a Time of Change
Centering Equity: Anti-racism in recruiting and hiring
Getting Personal: Critical self-reflection in your anti-racism work
How much are you able to pay for this workshop?
*
Your answer
How will you be paying for the ticket?
*
Out-of-Pocket
Professional Development Fund through organization
Which of the following best represents your racial and/or ethnic heritage? Choose all that apply.
Indigenous
Black (inclusive of Black American, African-American, Continental African, and Afro-Caribbean)
Latino/a/x/ae (inclusive of Afro-Latinx and Indigenous Latinx)
Asian (inclusive of South and Southeast Asian, Asian American) and Pacific Islander / Indigenous Hawaiian
Indigenous (inclusive of Central and South America) / Alaskan Native / First Nations
Middle East/West Asia and North Africa (MENA/WANA)
Biracial / Mixed Race / Multi-ethnic
White
Not Listed Here
Prefer not to answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Equity in the Center.
Report Abuse
Forms