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Interest Form for Beyond Good Future Cohorts
Thank you for your interest in *Beyond Good,* an 8-week intensive anti-racism course for white executives! We're no longer accepting applications for 2022 cohorts, but will open the program again for new cohorts in 2023. Fill out this form to let us know more about yourself so we can connect you to future cohorts or other training opportunities you might enjoy!
In gratitude and solidarity,
Just Roots Team
info@justrootsconsulting.com
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Email
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Your answer
First Name
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Preferred is fine, if different from your legal name
Your answer
Last Name
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Your answer
Personal Pronouns
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Would you like to be referred to with any specific pronouns, such as she/her, he/him, they them, etc. or by name only?
Your answer
Phone Number
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Your answer
Address
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Please include street address, city, state, and zip where you can receive mail and packages
Your answer
Time Zone
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Hawaiian (HST)
Alaskan (AST)
Pacific (PST)
Mountain (MST)
Central (CST)
Eastern (EST)
Other:
Organization
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Let us know the organization(s) at which you're currently employed, or if you're self-employed or a consultant who is not affiliated with an organization.
Your answer
Title / Role
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Cohort I was restricted to executive directors. We may open up future cohorts to additional roles if there's enough interest.
Your answer
Industry
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In a few words, how would you describe the industry you work within. For example, "legal services," "cooperative grocery" "banking," "retail," "healthcare," etc.
Your answer
Programming Interests, Generally
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We have programming specifically created to support white people in executive and managerial positions (folks who identify as white or having white privilege), as well as programming for people of all race and ethnic identities. Letting us know how you identify helps us figure out what information
Programming specifically created to support white people in executive and managerial positions (folks who identify as white or having white privilege)
Programming specifically created to support Black, Indigenous, and people of color in executive and managerial positions
Programming for people of all race and ethnic identities
Programming on how to support and celebrate LGBTQ+ people in your life and workplace
Programming specifically for LGBTQ+ people in all levels to advocate for more welcoming and equitable workplaces
Other:
Required
Catalyst for Interest in Beyond Good, Specifically
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Why do you want to participate in our Beyond Good cohort program (or something like it)?
Your answer
How did you hear about Beyond Good?
Just Roots' webinar
Just Roots' monthly newsletter
Just Roots' social media
Online search
Word of mouth
Other:
What other kinds of support do you or your organization need to become more equitable and inclusive?
Just Roots offers comprehensive consulting services to help you achieve your goals. Let us know if there's anything else you need to support your journey.
Equity Assessment (get benchmark data with survey + focus groups + report)
Equity Policy Audit + Refresh (review / develop policies to be more equitable)
Training Series for Staff and/or Managers on Anti-Racism
Training Series for Staff and/or Managers on LGBTQ+ Equity
Virtual Retreat for DEI Committee / Team or Management
Race Equity Action Plan (REAP) Development
Executive Coaching
Other:
Anything Else About You?
Anything you want to share about yourself (personally, professionally, politically, etc.) that you think is important for us to know so we can keep you in the loop about future Beyond Good cohorts and other programming that best fits your needs.
Your answer
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