Uprooted Online Cohort Application
The Building Bridges facilitation model is experiential and intimate. Throughout this series, facilitators will be leading each session with the expectation of active participant involvement. We ask participants to lean in and remain curious throughout the process.
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Name: *
Email: *
Pronouns: (she/hers, they/them, he/his)
OPTIONAL: Employer
Have you completed a Groundwork Session? Please state when you participated, or for what session you are registered.
In 1-3 sentences, please tell us why you are interested in joining this white affinity Cohort Series.
Which Session(s) would you be able to participate in? (Check all that apply)
Would you be able to commit to all of the sessions in the series?
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Have you participated in any kind of training or experience related to diversity, equity and inclusion in the past? And/or a White affinity/caucus space before? If so,  please expand.
How comfortable are you in talking about your white identity with other people?
Uncomfortable
Comfortable
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What does it mean to you to be white? (please expand on your relationship to/journey with your racial identity)
What is your knowledge, experience and understanding around the topic of white supremacy?  
How do you typically show up during conflict with other individuals? How would you handle conflict within a large group dialogue?
Please share one thing you hope to get out of this training experience.
Please share one hesitation, concern, or fear you have about this training, if any.
Do you identify as a person of color?
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Building Bridges aims to create as diverse of a space as possible within our cohorts and other public trainings. Please share any additional identities that you feel comfortable with us knowing (i.e. age, gender, sexual orientation, religion, ability, class, etc.)
Is there anything else you would like our facilitator team to know about you in regards to your identities, learning style or mental or physical accommodations? Do you have any questions/concerns?
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