One City, Many Voices: A Pine Lake Conversation about Racism, Belonging, and Civic Life
Participants should use this form to register for One City, Many Voices: A Pine Lake Conversation about Racism, Belonging, and Civic Life.

Dialogues in the Series:

1) April 8th - Race and the History of Pine Lake

2) April 20th - Policing, Public Safety, and Race in Pine Lake

3) May 13th - Sense of Belonging and Community in Pine Lake

More information about the series can be found on the City of Pine Lake website. Questions about the series, including content and registration, can be directed to Ed Lee, owner of ConverseLee, LLC at edlee3@converselee.com.
Sign in to Google to save your progress. Learn more
Name *
Email Address *
For which dialogues are you registering? *
Required
Demographic Information
The following information is being collected to ensure the dialogue series addresses the needs of the diverse City of Pine Lake community. The demographic information collected on this form will be used for evaluative purposes only. Any content with directly identifying information (e.g. names, email address) will be anonymized. You will not be identified in any information shared or produced about this series without your express written consent.
Affiliation to the City of Pine Lake *
Required
How long have you been affiliated with the City of Pine Lake? *
Why are you interested in attending this series of dialogues? *
Is there anything you would like the facilitators to know as they plan the series?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms