Registering / Goal Setting for 21-Day Racial Equity and Social Justice Challenge 2020
21-Day Racial Equity and Social Justice Challenge 2020
Thank you for signing up for the 21-Day Racial Equity & Social Justice Challenge. By submitting your email, you agree that you would like to be added to YWCA Knoxville and the Tennessee Valley's email list. You may unsubscribe from communications by clicking the unsubscribe link in the email. If you have changed your mind and do not wish to participate, please do not submit this form. Direct questions to Karlyn Reel at kreel@ywcaknox.com.
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Email
(Required.)
4.
Zip Code
5.
Age Group
Under 18
18-24
25-34
35-44
45-54
55-64
65+
6.
Race/Ethnicity (Choose as many as apply)
Native American/Indigenous/Alaskan Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
Hispanic/Latino, Latina/Latinx
Middle Eastern or North African
White
Multiple Races
Other
7.
How did you hear about the 21-Day Race Equity and Social Justice Challenge? (choose all that apply)
Social Media (ex. Facebook, Instagram, etc.)
Newsletter or email from YWCA Knoxville and the Tennessee Valley
Friend or family member
My supervisor or employer
A colleague or coworker
Other (please specify)
8.
Why did you sign up for the challenge? (choose all that apply)
I want to learn more about race equity and social justice
My team is doing the challenge together
I want to be more active in race equity and social justice issues
Other (please specify)
9.
What are your goals and intentions for the 21-Day Race Equity and Social Justice Challenge? (choose all that apply)
Learn more about myself and community
Change my way of thinking
Engage with people from different backgrounds
Change how I interact with others in my community
Help my employer and/or team address issues of race equity and social justice
Learn how to get involved with advocacy and making changes in my community
Lead or join in efforts of make changes in my community
Other (please specify)
10.
What can the 21-Day Challenge organizers do to help you succeed?