Conflict Resolution Center | Community Voices for Change

Name *

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Last

Phone

Email *

Best way to reach you *

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Text
Email

Please answer these two questions. There is no minimum or maximum of words -- we just want to get to know you and what is important to you.

1. How has COVD-19 and social distancing affected you, your family, and your community? *

2. Please tell us about your passion for helping your comunity, about having your voice heard, and assisting others to have their voices heard. *

Short Answers:

What is you age? *

Are you unemployed? *

yes
no

Please self-identify in terms of race/ethnicity, gender, religion, experience of homelessness, and any other ways you would like to tell us about yourself. Please feel free to share whatever you are comfortable with. *

What city/town do you live in or near? *

Are you available to attend trainings at ALL of the following dates/times listed below? All training times are from 1:00-5:00 pm. *

yes
no

Tuesday 10/20, Wednesday 10/21, Thursday 10/22, Tuesday 10/27, Wednesday 10/28, Thursday 10/29

How did you find out about this opportunity? *

Is there anything else you would ike us to know about you and your life experience? *

Captcha *

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Community Voices for Change Application