Please use a number we can contact you at should anything arise while you are traveling to the session. Phone number must follow the following format: xxx-xxx-xxxx.
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E-mail *
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When did you attend SJTI? *
Please use the format Season Year/Location. For example, "Summer 2016/Springfield MA"
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Do you identify as multiracial or monoracial? *
Multiracial: I identify as someone with a heritage of two (biracial) or more races. Monoracial: I identify as someone of a single racial heritage.
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Multiracial
Monoracial
How do you identify Racially/Ethnically? *
If biracial/multiracial, please note that and then include all racial groups that comprise your heritage
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Gender Identity? *
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Sexual Orientation? *
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Other identities you wish to share:
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Short Answer Questions
What key "learnings" have you used since your institute experience? *
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What continue to be your 'learning edges' or areas of growth? *
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What would you like to see included in this renewal experience? *
Your answer
I understand that I must be up-to-date with all available COVID-19 vaccines and boosters by January 23, 2023 in order to participate and that I may be asked to present my vaccination card for verification during program registration on February 7. *
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