Racial Affinity Group Coaching
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Email *
Contact Person: First and Last Name *
Email of Contact Person *
Please propose three dates and times that work for your group members. Your suggested dates should be from 3 to 5 weeks of this application. We appreciate you indicating dates/times in the US Eastern time zone.  Availability is limited. We typically can meet weekdays between 11am and 3pm EST. We will do our best to accommodate your proposed dates or make alternative suggestions.  *
Are there any dates/times that absolutely do not work for your group? *
What is the racial affinity of your group? *
How many members are in your racial affinity group? *
Share demographic info about your group (age range, sexual orientation, gender identity, geographic location, pronouns, etc.): *
How long has your RA Group been meeting? *
Is your group following the racial affinity group framework outlined in the book and/or Brave Space? *
Which Payment Option are you choosing?  *
List your questions. Please limit your focus to the experiences you are having in your racial affinity group. You can also raise questions when we meet. *
Thank you! We look forward to support you racial affinity group experience!
A copy of your responses will be emailed to the address you provided.
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