Restorative Internship Application Form
PAID COMMUNITY IMPACT LEADER PROGRAM for young adults is an opportunity for community members to learn conflict resolution skills and restorative facilitation to help fellow community members have important discussions about their experiences. These conversations are helpful for healing from past and current harms and deepening relationships in families, neighborhoods, and communities. We expect this to be a powerful experience in creating caring and connected communities. If you have questions contact Janise at janise@crcminnesota.org.

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Email *
Cell Phone Number *
First Name *
Last Name *
This project focuses on young adults 20 to 29; what is your age? *
Street Address *
In what city and state do you live? *
What is your zip code? *
Please answer the following questions in any way that feels authentic for you that will help us to get to know you better. We want to understand the experiences that you bring with you that will help you to lead community discussions.
Why are you interested in learning to be a mediator and lead community discussions? *
How might this work benefit you personally and your community? *
Do you have experiences of trauma, violence, and/or community unrest that you would bring to leading community discussions? How might your experience help you to relate to your community members? *
If you are awarded a place in this program, what community(ies) are you involved in that might welcome mediations and community discussions? That is, do you have ideas about who you would like to include in your circles? *
You must be available for training sessions to be eligible for this program. Training and meetings will be held on weekdays, with the initial training on August 31st from 10 AM to noon and September 1st from 5 PM to 9:15 PM. Is this timing that will work for you? *
The following questions are optional - they help us to report to funders. Thank you in advance, if you choose to answer.
Are you employed?
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Race / Ethnicity
Gender Identity
Do you have other identities you would like to share?
Thank you for your application! Is there anything else you would like us to know?
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