LiberTEA Collective Application Cohort V

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Please complete all sections to the best of your knowledge. Applications will be reviewed as they are received. After review, you will receive an email to submit additional information (personal narrative and headshot) and confirm your interview.

A training fee is associated with the program. Please see question below regarding the fee scale of $300-0. Scholarships are also available.

Attendance Policy: Participants are REQUIRED to attend all sessions, barring any emergencies or illness. You wills sign a participation commitment agreement. If you cannot commit to the following dates, please consider participating in a future cohort:

June 10-12, 2022 (In-person/overnight in Nashville)-accommodations provided if you live outside of the city
Session 1: Healing Retreat/Self-Love Is Community Love

June 16, 2022 (Virtual-6pm)
Session 2: Freedom Ain’t Free: The Fight for Black Freedom,

June 23, 2022 (Virtual-6pm)
Session 3: Don’t Hate the Player, Hate the Game: Civics 101

June 30-July 8, 2022 (Holiday Observation/LiberTEA Check-In)

July 9-10, 2022
Black Women Empowerment Weekend Powered By The Equity Alliance

July 15-17, 2022 (In person/overnight in Nashville)-accommodations provided if you live outside of the city
Session 4: Can’t Create Change From the Sideline: Running for Office/Working with a Campaign
Session 5: This Ain’t A Spectators Sport: Movement Building and Disruption/Direct Action/Organizing

July 21, 2022 (Virtual/6pm)
Session 6: Behind the Scenes: Movers, Shakers, and Gatekeepers: Boards and Commissions/Government Positions/Civil Service/Roles within Government

July 28, 2022 (Virtual/6pm)
Session 7: Your Seat Ain’t Safe: Advocacy and Lobbying

August 6, 2022 (In-Person)
Session 8: Graduation

The purpose of this application and training is to empower Black Tennesseans regardless of their knowledge or experience with the content. Admission into the Collective is not based on income, background, age, sexual orientation, religion, or access to technology.

If you need assistance completing the application or have any questions, please do not hesitate to reach out to the LiberTEA Collective Coordinator Terrica Arnold, terrica@theequityalliance.org.

Name (First and Last) *

Address (Street name, CITY, zip code) *

Phone Number *

Email *

Age Range *

21-24

25-29

30-35

36-40

41-50

51-60

60+

Gender

Female

Male

Prefer not to say

Clear selection

Short Bio about yourself. Please include your occupation, passions, hobbies.

T-Shirt Size *

Small

XXL

3XL

Other:

Dietary Restrictions *

Vegetarian

Vegan

Kosher

Halal

Gluten-free

None

Other:

Please check all your areas of interest. *

Movement Building and Organizing

Running for Elected Office

Working on a Political Campaign

Serving on a Government Board

Disruption Training

Lobbying and Advocacy

Community Education

Voting Rights Legislation

Racial Equity

Economic Development

Environmental Justice and Land Use

Housing and Transportation

Other:

Required

Who can vouch for your character? (Include name, email, phone number of 2 people)] *

If you could be a rapper, activist, or one of our ancestors, who would you be? *

Please confirm that you are committed to completing this training on the following dates. In-person meetings will also include childcare: June 10-12, 2022 (In-person); June 16, 2022 (Virtual); June 23 2022 (Virtual); July 15-17, 2022 (In-person); July 21, 2022 (Virtual); July 28, 2022 (Virtual); and August 6, 2022 (In-Person Graduation), *

I confirm that I am committed to attending all sessions on the dates listed.

I cannot attend the sessions on the dates listed.

A training fee is associated with this program in the amount of $300. However, we do not want to block anyone from this opportunity. The sliding scale fee is $300-0. Please indicate below how much you can invest in your training. We value your honesty. *

$300

$200

$100

$50

Will you need lodging to attend in-person sessions in Nashville? *

Yes

Will you need childcare? If so, please provide age of child(ren)? *

Please list your social media handles, if you have them. (Facebook, Instagram, LinkedIn, Twitter, SnapChat, TikTok) *

If there is anything else you would like to share with us, please do so below:

If you were referred to this program, please provide the name of the individual below:

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