Birthright AFRICA - Education Partner Interest Form
Thank you for your interest in Birthright AFRICA!

-Education Partners are high schools, colleges, and community-based organizations interested in having their  participants receive the Birthright AFRICA experience

-Education Partners create local, national, and global Birthright Programs with the guidance of Birthright AFRICA

-Once their program is created and approved by Birthright AFRICA, they are eligible for the 50% funding match to cover the cost of the program.

Please fill out the following Education Partner - Interest Form so we can add you to the database of interested partners. In the meantime, please see our powerful 2017 Program Recap Video below to learn more about the Birthright AFRICA vision, mission, and programmatic approach:

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Email *
Secondary Email Address
2017 CUNY Birthright AFRICA Program Recap Video
First and Last Name *
Phone Number *
Name of Organization *
Type of Organization *
Is your organization part of a larger national network? *
If your organization is part of larger national network, please detail.
i.e. The City University of New York (CUNY)
Title/Role *
City *
State *
Website *
Why does your organization want to partner for the Birthright AFRICA mission? *
What is the age range for Birthright Scholars of African descent in your organization? Check all that apply *
Required
Are there leaders or educators of Black/African descent over the age of 30 that can be Facilitators for a Birthright program within your organization? *
What questions do you have based on seeing the 2017 Program Recap Video above? *
What is the date/time of your Interest Meeting with Birthright AFRICA (required)? To share more about your interest in becoming a Birthright Education Partner - please book time to speak with Program Director, Keisha Browne Amuri via Calendly link and detail you date and time below: https://calendly.com/keisha-holistic/birthright-africa-education-partner-interest-meeting *
If you received AND reviewed a recorded Interest Meeting from Keisha Browne Amuri, please indicate here.
Will other team members be joining you at the Interest Meeting? If so, please include their names here.
Please share any additional details related to your partner interests.
A copy of your responses will be emailed to the address you provided.
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