Dialogue on Race in Mississippi:  Participant Interest Form
Learn how to be a part of making your community stronger and more inclusive! Mississippi Rising Coalition is hosting the second round of an educational process called Dialogue on Race in Mississippi (DORM). The curriculum and format for DORMS was developed in Louisiana over 10 years ago and is the core program of an organization called Dialogue on Race Louisiana.  Its focus is on education, action and transformation. The program is a 6-session weekly series backed by factual materials that is facilitated, structured and formatted to set a safe environment for open, honest and brave conversation about race and racism. The series is specifically designed to create increased awareness and understanding that leads to informed action and meaningful change around race in our communities.  It’s a journey that needs to include all of Mississippi, and as a trained race dialogue facilitator, you will be a critical part of that process.

Please fill out this form completely if you are interested in participating in Dialogue on Race in Mississippi as an individual, or if you are interested in bringing DORMS to your group, business or organization.  Upon receipt of this completed form, a representative of MRC will reach out to discuss further details with you.  
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Email *
First Name
Last Name
Pronouns *
Phone Number
County of residence
City/community of residence
I am interested in DORMS for:
If you are inquiring about DORMS for a group, business or organization, please list its name below. 
Is there anything else  you'd like for us to know before we reach out to you?
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