Registration Form Race in Academia Collective
Welcome to the Race in Academia Collective, where we connect existing networks/initiatives/groups, as well as individuals who identified as racialised scholars in The Netherlands.

You can use this form to register to be part of the collective, and to receive email updates (optional) from the collective. 

Before you register yourself to join the collective, we kindly invite you to check the grounding principles of Race in Academia Collective, which can be found at https://raceinacademia.nl/page/the-race-in-academia-collective. 

Please be aware that joining the collective means you are committed to these grounding principles. 

For further information or questions, please contact us via info@raceinacademia.nl 

Full name *
Email address *
Discipline/field of study/area of interests
Are you affiliated to a particular university/institution?
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Organisation/institutional affiliation *
Position *
Required
Contract/employment status (Academic/non-academic staff and lecturer)
Clear selection
PhD employment status (PhD researcher)
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How do you describe yourself?
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Why are you interested in joining the Race in Academia Collective? 
This question is optional. 
 *
How did you learn about the Race in Academia Collective *
Required
Are you interested in taking a more active role with the collective?  *
If you answered 'Yes' for the previous question, which role would you be interested in?
Would you like to receive (events) updates from us via email?  *
(Additional) comments
You can use this space to elaborate on any question to which you responded 'Other', or for other information you would like to share that are not covered by the above questions. 
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