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Facilitator/Consultant Request Form
Fill out this form to request services for facilitation and consulting.
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Organization/Group Name
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Name of contact
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Email
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Phone
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Location
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We are interested in the following topics
Racism
Colorism/Internalized Oppression
Intersectionality
Anti-Black Racism
Parenting Black & Brown Children
Queer-antagonism
Other:
We are interested in the following service
Workshop
Learning Series
Organizational Constulting
Please share a bit about the work your group is looking for.
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