Interest Form

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 *
Preferred Pronouns
How do you currently describe yourself? (mark all that apply)

FemaleMaleGenderqueer / genderfluidNonbinaryTransgenderTwo-spiritPrefer not to sayOther
Email*
Phone Number
State*
Which of the following best represents your racial or ethnic heritage? Choose all that apply.*

Non-Hispanic White or Euro-AmericanBlack, Afro-Caribbean, or African AmericanLatino or Hispanic AmericanAsian or Asian AmericanNative American or Alaskan NativeOption Not Included
Age Group*

70 +60-69 years old50-59 years old40 - 49 years old35 - 39 years old30 - 34 years old25 - 29 years old18 - 24 years old15 - 17 years old
Which of the following best describe you? (Select all that apply)*

Concerned ResidentCommunity LeaderPrimary School StudentCollege Student (includes undergraduate and graduate students)OrganizerFaith-Community LeaderLawyerParent/CaregiverEducator (teachers, professors, community educator, etc.)I do not identify with any of the listed titles.
How did you hear about the academy?

Friend/Family MemberSchool/UniversitySocial MediaEmail NewsletterWord of Mouth#Resist
Which session are you interested in*

Summer 2025Fall 2025Neither, but interested in a future dateUnsure
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