Interest Form
Thank you for your interest in the Strategic Nonviolence Academy! We’re excited to learn more about you and explore ways we can collaborate to create impactful movements for justice and liberation. Please fill out this form so we can connect!
Name
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Preferred Pronouns
How do you currently describe yourself? (mark all that apply)
Female
Male
Genderqueer / genderfluid
Nonbinary
Transgender
Two-spirit
Prefer not to say
Other
Email
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Phone Number
State
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Which of the following best represents your racial or ethnic heritage? Choose all that apply.
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Non-Hispanic White or Euro-American
Black, Afro-Caribbean, or African American
Latino or Hispanic American
Asian or Asian American
Native American or Alaskan Native
Option Not Included
Age Group
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70 +
60-69 years old
50-59 years old
40 - 49 years old
35 - 39 years old
30 - 34 years old
25 - 29 years old
18 - 24 years old
15 - 17 years old
Which of the following best describe you? (Select all that apply)
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Concerned Resident
Community Leader
Primary School Student
College Student (includes undergraduate and graduate students)
Organizer
Faith-Community Leader
Lawyer
Parent/Caregiver
Educator (teachers, professors, community educator, etc.)
I do not identify with any of the listed titles.
How did you hear about the academy?
Friend/Family Member
School/University
Social Media
Email Newsletter
Word of Mouth
#Resist
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