BIPOC RJ & Equity Informed Mediation Cohort (May 2022)

Attendee information for each participant

Please enter contact information for each person you are registering.

First Name *

Last Name *

Street Address

Address Line 2

City

State

Zip

Daytime phone

Fax

Email *

Have you previously attended an RNW training? *

Yes No

Registration questions

What is your race? *

What is your gender? *

What pronouns do you use?

Given your skin color and appearance, how are you perceived by white people and systems (banks, law enforcement, etc.)? Specifically, would you be perceived as Black or Brown? *

Unnamed Profile

What do you know about Restorative Justice and what does it mean to you? *

What are you most interested in when it comes to Equity Informed Mediation? *

How do you build relationships? *

Why are you interested in participating in this cohort? *

Are you over 18? *

Yes No

If you are under 18, enter your email if you'd like to receive information about our upcoming youth cohort.

Are you able to commit to all 14 sessions of this cohort? *

Yes No

If not, which sessions will you miss? *

Be sure to click "continue" to complete your registration. After that is complete, you should receive a confirmation e-mail within a few moments. If you do not receive one, please contact us to make sure your wait list registration has gone through: 503-595-4890. Thanks!

Be sure to click "continue" to complete your registration. After that is complete, you should receive a confirmation e-mail within a few moments. If you do not receive one, please contact us to make sure your wait list registration has gone through: 503-595-4890. Thanks!

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