Affinity Group Interest Form

The Young Scholars team is seeking moderators for our Black, BIPOC, Latinx, Asian American, GSA and Cross-cultural Affinity Groups. We are also open to creating other affinity groups. These affinity groups are being created to provide safe spaces for Cooke Young Scholars (8-12 grades) to discuss their shared experiences.

If you are interested in serving as a moderator, please complete the Interest Form by March 19. Moderators will be asked to facilitate one discussion on a topic of interest during their session. If you have questions, you may contact Anya Keys, Manager of the Young Scholars Program at akeys@jkcf.org. You can read more about affinity groups here: https://www.tolerance.org/magazine/summer-2015/making-space.

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* 1. Please provide your full name.

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* 2. Please provide your email address.

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* 3. What are your preferred pronouns?

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* 4. We plan to host the Black and BIPOC Affinity Group sessions in the spring; we will launch additional affinity groups in the summer. We are also open to suggestions for additional affinity group. Which affinity group are you interested in moderating? Please select all that apply.

African American/African/Black Young Scholar Union

BIPOC Young Scholar Union

Latinx Young Scholar Union

Asian & Pacific Islander Young Scholar Union

Cross-cultural Alliance

Gender and Sexuality Affinity

Gender Affinity Group

Middle Eastern or North African Scholar Union

Other (please specify)

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* 5. In October 2020, the Young Scholars team held its first affinity experience for Black Young Scholars, and with the support of two current College Scholars, Young Scholars gathered to discuss the protests that occurred last summer. Please share potential topics you are interested in moderating.

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* 6. Do you have any prior experience moderating affinity groups or diversity, equity or inclusion training? If so, please describe your experience or training.

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* 7. We hope to hold affinity group meetings quarterly for one hour. When are you available to moderate? Please select all that apply.

Sunday evenings 7-9 p.m. EST

Monday evenings 7-9 p.m. EST

Tuesday evenings 7-9 p.m. EST

Wednesday evenings 7-9 p.m. EST

Thursday evenings 7-9 p.m. EST

Other (please specify)

Affinity Group Interest Form

Question Title

* 1. Please provide your full name.

Question Title

* 2. Please provide your email address.

Question Title

* 3. What are your preferred pronouns?

Question Title

* 4. We plan to host the Black and BIPOC Affinity Group sessions in the spring; we will launch additional affinity groups in the summer. We are also open to suggestions for additional affinity group. Which affinity group are you interested in moderating? Please select all that apply.

Question Title

* 5. In October 2020, the Young Scholars team held its first affinity experience for Black Young Scholars, and with the support of two current College Scholars, Young Scholars gathered to discuss the protests that occurred last summer. Please share potential topics you are interested in moderating.

Question Title

* 6. Do you have any prior experience moderating affinity groups or diversity, equity or inclusion training? If so, please describe your experience or training.

Question Title

* 7. We hope to hold affinity group meetings quarterly for one hour. When are you available to moderate? Please select all that apply.

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* 8. How many sessions are you interested in moderating?

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* 9. Any additional information you want to share?