Peace & Justice Center · Program Request Form

Program Request Form

We appreciate you reaching out to the Peace & Justice Center. We are happy to explore the possibility of bringing our educational programs to your organisation.

We consider these programs "workshops" not "trainings". We do have partners as well as the capcity to do more bespoke or ongoing programs. Please reach out direcly if that is your need.

We expect to get back to you about your request within a week or two, but if you have any questions please contact our Education and Workshop Manager Bella Fearn (she/her) at program@pjcvt.org or 802.863.2345 x2. Thank you!

Contact Information

Organization name

Contact Name

First Name

Last Name

Phone number

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Program(s)

*We offer racial justice, fair trade, pro-peace/anti-war programs, and more. Please select one or more programs you are interested in.

Racial Justice Program(s)

See link in description above for descriptions. Check all that apply.

Seeing and Disrupting Racism (our 101 course typically 2 hours)

BIPOC Affinity Group

Building Empathy & Addressing Racial Oppression (typically 6 hours)

Talking With Kids About Racism (typically 6 hours)

Unpacking Whiteness

Bespoke Racial Justice Workshop, Book Discussion, or Film Screening

Fair Trade Program(s)

See link in description above for descriptions. Check all that apply.

Banana Industry

Chocolate & Modern Slavery

Fair Trade Labels

Fair Trade vs Free Trade

Global Trade & Racism

Bespoke Fair Trade Workshop, Book Discussion, or Film Screening

Other Program(s)

See link in description above for descriptions. Check all that apply.

Pro-Peace/Anti-War

Current Events

Other

If other, please explain?

Agency Information and Program Logistics

What inspired you to reach out to the PJC?

Example: Is your request the result of racist incidents within your organization? Has this program been requested by others within your organization?

Where do you prefer this event to be hosted?

* Please know that during this time the majority of our events are being hosted virtually.

Virtually

In-person

Hybrid

How would working with PJC fit into your long-term plan to address equity and inclusion?

What times would you want to have the event?

*You many choose multiple options. Many our facilitators work 9-5 jobs and it may take longer to schedule weekday day events.

Weekday Days (9-5)

Weekday Evenings (after 5)

Weekend Days (9-5)

Weekend Evenings (after 5)

Who is the antipacted audience for this workshop and how many people will be present?

Do you have a specific date(s) in mind for the workshops?

Budget

Is your organization a for profit or not for profit organization?

For Profit

Not for Profit

Other

If other, please explain.

In order to determine the cost of this program, we would like to know your organization's annual operating budget

Consider any budget that you may have access to. We define frontline groups as those directly impacted by the issues we are addressing.

$1,000,000 +

$500,000 - $999,999

$250,000 -$499,999

$100,000 - $249,999

We are a frontline group, students, or have a budget under $100k

Other

Do you have any other questions, concerns, and/or information that would be helpful to for us to know or address?