Anti Racism Virtual Training
Saturday, November 16, 2024 (9:00 am - 3:00 pm)
Name
First Name
Middle Name
Last Name
E-mail
example@example.com
Phone Number
1. Please enter your Gender:
2. Do you identify as LGBTQIA+?
Yes
No
I Choose Not To Respond
3. Are you a member of the Disciples of Christ (DOC) clergy or lay leader?
Yes
No
If yes to #3, insert your role/title here
4. Please select your Race:
Please Select
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
5. Please select your Age Group:
Please Select
18–24
25–34
35–44
45–54
55–64
65 and over
Sponsored by the Christian Church Capital Area Anti Racism & Reconciliation Committee
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