REFRESH 2021-2022 Educator Application

Thank you for your interest in applying to participate in Creative Reaction Lab's Redesigning Education For Racial Equity & Social Healing (REFRESH) program year 2021-2022.

REFRESH is an intergenerational civic engagement program for youth and educators. We are bringing together educators of Black, Latinx, and Indigenous youth to learn our unique youth-centered curriculum, When We Create: Building Leadership, Racial Consciousness, and Grassroots Change™ and adapt it to the needs of their classrooms, so that we can amplify and shift power to young leaders, understand our roles in designing equitable outcomes, and collectively shift education structures to support social healing.

For our next program cycle, we will be selecting up to 25 educators per each cohort to join us in learning Equity-Centered Community Design and implementing their curricular adaptations in the 2021-2022 school year. Educators will have the opportunity to indicate which semester they prefer for implementation (Fall 2021 or Spring 2022).

You can view eligibility guidelines, timeline, and further program information on our website. Please feel welcome to reach out to our team at refresh@creativereactionlab.com with any questions or concerns.

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* 1. First and Last Name

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* 2. Pronouns (e.g. they/them/theirs, she/her/hers, he/him/his, xe/xem/zyrs, etc.)

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* 3. Mailing Address

Address 1

Address 2

City/Town

State

ZIP/Postal Code

Country

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* 4. Email Address

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* 5. Phone Number

DEMOGRAPHIC INFORMATION

The questions that follow aim to help our team understand and assess the range of identities of those with whom we are working. Your personal demographic information will remain internal to the organization or will be anonymized and aggregated for external reporting.

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* 6. Which range below includes your age?

18-22

23-26

27-36

37-46

47-56

57-66

67+

Prefer not to disclose

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* 7. Please select all of the following that describe your racial + ethnic identities

Hispanic/Latinx

Black

White

African American

African

Caribbean

Native American / Indigenous / First Nations

Central American

South American

Native Hawaiian / Pacific Islander

Caribbean

East Asian

South Asian

Southeast Asian

Middle Eastern / Arab

Non-Hispanic White / Caucasian

Western European

Eastern European

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* 8. We are conscious that the options provided above do not allow for specificity as it relates to unique racial + ethnic identities (e.g. Peruvian, Chinese, Nigerian, Scottish, I prefer not to disclose, etc.). Please feel welcome to use the space below to self-describe in more detail.

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* 9. Gender Identity (e.g. non-binary, genderfluid, ciswoman, cisman, I prefer not to disclose, etc.) If you would prefer not to provide this information regarding your identity, please answer “Prefer not to disclose.”

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* 10. Sexual Orientation/Identity (e.g. pansexual, gay, heterosexual, asexual, I prefer not to disclose, etc.). If you would prefer not to provide this information regarding your identity, please answer “Prefer not to disclose.”

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* 11. Ability Status (e.g. deaf, neurodivergent, person living with ADHD, not living with a disability, I prefer not to disclose, etc.). If you would prefer not to provide this information regarding your identity, please answer “Prefer not to disclose.”

ORGANIZATION INFORMATION

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* 12. School/Organization Mailing Information/Youth Group

Name of Organization/School Name

Name of School District (if applicable, or write “N/A”)

Address

Address 2

City/Town

State

ZIP/Postal Code

Country

Phone Number

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* 13. Geographic Setting of Organization/School/Youth Group (select all that apply):

Urban

Suburban

Rural

Other (please specify):

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* 14. Type of Learning Institution (select all that apply):

High School

College/University

Community Youth-Serving Organization

Youth Group

Public

Private

Charter

Title I

HBCU

HSI

Tribal College

AANAPISI

Community College

Technical College

Technical/Vocational High School

Other (please specify):

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* 15. If you selected “Community Youth-Serving Organization” and/or "Youth Group" above, please share the purpose of your organization and/or program.

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* 16. In what setting/format do you anticipate delivering this curriculum? (Select all that apply).

After/before school program

In-class module complementing core curricula

Stand-alone course/program

Weekend engagement(s)

Other:

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* 17. What semester are you looking to implement our When We Create: Building Leadership, Racial Consciousness, and Grassroots Change™ curriculum ?

Fall 2021 (September - December 2021) - NO LONGER ACCEPTING APPLICATIONS

Spring 2022 (February - May 2022)

No preference

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* 18. Your Role at Organization/School/Youth Group (Instructional Coach, Youth Leader, Educator, Faculty Advisor, Administrator):

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* 19. Your Title at Organization/School/Youth Group (Program Manager, Chapter President, Director of _________, Principal, etc.):

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* 20. Select the range that includes the number of years you’ve had instructional and/or face-to-face experience in youth education/leadership/program/development:

2-4

5-7

8-10

10+

ANTICIPATED YOUTH PARTICIPANTS
To the best of your ability, please estimate the following numbers and percentages regarding the youth you anticipate will participate in REFRESH.

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* 21. How many separate groups of youth do you plan to implement the Equity-Centered Community Design youth curriculum? (e.g. will this be in multiple classes or with just one class?)

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* 22. Estimated # of youth program participants. Please include the total number and distinguish numbers among different classrooms/programs/groups if applicable (e.g. 30 total. Group A: 10 youth, Group B: 15 youth, Group C: 5 youth).

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* 23. Estimated percentage (%) of Black participants

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* 24. Estimated percentage (%) of Latinx participants

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* 25. Estimated percentage (%) of Indigenous/Native American participants

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* 26. Estimated percentage (%) of multi-racial/ethnic participants whose identities include Black, Latinx, and/or Indigenous

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* 27. Estimated percentage (%) of participants of other ethnicities/races

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* 28. Age Range of Anticipated Participants (select all that apply):

12-14

15-18

19-22

23-26

Other (please specify)

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* 29. If an education institution, please share the grade levels of students with whom you’ll be implementing CRXLAB’s curriculum (select all that apply):

8th grade

9th grade

10th grade

11th grade

12th grade

First-year undergraduates

Second-year undergraduates

Third-year undergraduates

Fourth-year undergraduates

Fifth-year or more undergraduates

Graduate Students

Professional Students

Other (please specify):

ESSAY
At Creative Reaction Lab, we acknowledge that youth historically have been undervalued architects of change and culture. We believe that if we equip Black, Latinx, and Indigenous youth with:

1. training and tools to build consciousness* around context, history, and power surrounding race and ethnicity in the United States;
2. a community for cultural healing, safety, and collective mobilization; and
3. access to traditional power through institutions, funding, and resources;

then they will have the capacity to design interventions that will dismantle existing racial and health inequities; thus co-creating a society that embraces the humanity, rights, and power of Black, Latinx, and Indigenous people.

*deep awareness of one’s own thoughts + of the society in which one lives, allowing for critical analysis of the prevailing narratives one sees + experiences.

*Please select ONE of the three points (training and tools, community, access) that resonates with you and share why it is important. (Limit: 500 words)

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* 30. What does “Redesigning Education For Racial Equity & Social Healing” mean to you? Why does it matter?

SHORT ANSWER

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* 31. French novelist Anatole France wrote: "An education isn't how much you have committed to memory, or even how much you know. It's being able to differentiate between what you do know and what you don't." What don’t you know about racial equity and health equity?

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* 32. What motivates you to bring Redesigning Education for Racial Equity and Social Healing (REFRESH) to the youth of your learning community?

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* 33. Describe a time when you’ve co-created with youth. Please include the strengths you displayed, the challenges you encountered, and areas of growth you identified.

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* 34. Share an example of when personal bias strongly influenced your decision-making.

REDESIGNERS FOR JUSTICE™

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* 35. Please complete the following sentence: I will make my community better by ______________________. Then, please tell us why. Please visit our article about our Redesigners for Justice™ for more information on answering this question.

NEXT STEPS
Those selected to participate in our REFRESH cohorts will participate in multi-day convenings occurring in July 2021 (Fall Cohort) and late November/early December 2021 (Spring). Both convenings will be followed by virtual engagements discussing curriculum implementation for Fall 2021 or Spring 2022.

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* 36. By selecting “I agree” below, you are indicating that you understand this commitment and are available to attend these engagements. By also selected "I agree", you certify that information shared in this application is accurate and complete.

I agree