Community Advocates for Racial Equity (CARE)

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APPLICATION for 2021-2022 Cohort

Email *

We are committed to creating a space where we can explore diversity, equity, inclusion, and anti-racism so that we can become anchors within our communities who courageously identify and speak up when challenged with racial injustice. The CARE group learns together with people across roles, programs, organizations and perspectives within our infant/early childhood community. It is in this spirit that we invite you to participate in an upcoming CARE Group cohort. We hope you will join us on this journey to deepen knowledge and self-awareness in an effort to “do better” as we serve infants, young children and families in RI. Please take a few moments to answer the following questions:

Name *

Pronouns *

Organization *

Title *

Phone

Please select the SECTOR that best describes your most current role as an I/ECMH professional? *

Please select the ROLE that best describes your most current position as an I/ECMH professional? *

If you selected other for either question above, please list here:

RACE (You may select more than one. )

American Indian or Alaskan Native

Asian

Black or African American

Hispanic or Latinx

Native Hawaiian or Pacific Islander

White

Prefer not to answer

Other:

We plan to meet monthly for 2 hours per session from October 2021 to May 2022. Are you able to commit to this amount of time? *

Yes

Please provide some examples of your volunteer/ committee experience or involvement with the infant/ early childhood community: *

What learning experiences have you had related to diversity, equity, inclusion and anti-racism? *

What skills/ qualities/ experiences would you bring to this group? *

What skills do you hope to gain by participating in this group? *

Which days/ times are you available for? Please select all that apply.

2nd Monday of the month (am)

4th Tuesday of the month

I am not available at any of these times

Other:

THANK YOU!!

Questions? Please email program@RIAIMH.org

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