MAIRJ Fall 2025 Institute Registration
Name
First Name
Last Name
Pronouns
Job Title/Role
Organization
Email
example@example.com
How many years have you worked in the arts and/or social justice field?
0–2 years
3–5 years
6–10 years
10+ years
MAIRJ is a 301-level learning experience. Please describe your prior training or experience with: Racial equity frameworks, White supremacy culture analysis, and Anti-racist practices.
What draws you to participate in the MAIRJ workshops at this time?
Which program goals resonate most with you? (Select top two)
Deepening ability to name, challenge, and shift systems of power
Developing liberatory, community-accountable leadership practices
Exploring racial justice through cultural context and imagination
Building cross-racial and cross-sector relationships
The cohort will meet for six 2-hour virtual/hybrid sessions. Do you anticipate any barriers to full participation?
Are there accessibility supports that would make your participation stronger ?
Demographics (Optional)
Race/Ethnicity (Select all that apply)
Black or African American
Hispanic or Latino/a/x
Asian or Asian American
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native
Middle Eastern or North African
White
Multiracial
Prefer not to say
Other
Age Range
Under 25
25–34
35–44
45–54
55–64
65+
Prefer not to say
Geographic Location (City, State)
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