Name: Organizing for Justice: Part 2
Start: 2023-08-14T10:30:00-05:00
End: 2023-08-17T15:30:00-05:00

Name *

First

Last

Email *

Mobile Number *

Your Organization *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Are you an alum of Organizing for Justice (fka Organizing for Social Change)?

Yes
No
I will be by the time this training happens

Do you require any accommodations? (Interpretation, quiet/private space, etc.?)

About Your Organization: Please provide a short description of your organization, including its purpose, issues it works on, and the degree to which organizing is a part of it. *

Your Position: Please list your position and briefly describe your role and its relationship to organizing. *

Reason for Attending: Briefly explain why you are applying now for the training, your level of experience as an organizer, and as concretely as possible what you hope to get from the training. *

Primary Issue: What is the primary issue you are currently working on? *

Is there anything else we should know?

May we share your information with fellow participants? *

Yes, I consent
No, I do not consent

We would like to share your first name, organization, role, current issue, & state with your fellow participants a few days PRIOR to the training, to give people a chance to get to know who else will be in the training with them. You have the right to opt out of this! We will NOT share your information in any other way.

Organizational Budget *

Budgets up to $125k - You will be charged $325 for the training
Budgets of $125k - $250k - You will be charged $440 for the training
Budgets of $250k - $500k - You will be charged $605 for the training
Budgets of $500k - $1m - You will be charged $770 for the training
Budgets greater than $1m - You will be charged $935 for the training

In an attempt to make this training available to as many people as possible, we are using a sliding scale for pricing. Select your organizational budget and we'll invoice you accordingly! *

OPTIONAL: How do you publicly self-identify?

Female
Male
Nonbinary/Genderqueer/Gender non-conforming
Decline to State

OPTIONAL: How do you publicly self-identify?

I identify as a person with a disability
I do not identify as a person with a disability
Decline to State

Organizing for Justice: Part 2

August 14 @ 10:30 am – August 17 @ 3:30 pm

Virtual event – register below

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