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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 institution. Here is a link to our
program catalog
and to our
fee schedule
-- please look over these before submitting your request.
It is important to us to be clear that what we are providing is not comprehensive. We consider these programs "workshops" not "trainings". We do not get into recruitment, retention, or other policy issues in depth. Should we work together, it is our hope that you also address issues of equity in a long term and comprehensive manner -- that what we provide would be only part of it.
Alternatively, we have developed an assessment tool that we can offer you. This is an online form that we would ask multiple people (in a variety of roles) at your institution to fill out. The survey assesses issues related to race and racism. We would review the results and make a proposal for you to do longer term, more comprehensive, institutional change work together. There is a $250 fee for the survey which will be deducted from the proposed amount of the contract should you decide to work with us.
We will get back to you about your request as soon as we are able to, but if you have any questions please contact Kina Thorpe at
Program@PJCVT.org
or at 863-2345 x9. Thank you!
Contact Information
Organization name
*
Contact Name
*
First Name
Last Name
Phone number
*
Email
*
Address
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Request Details
Which program(s) are you interested in bringing to your organization?
*
See link is description above for descriptions. Check all that apply
A book discussion
A film screening/discussion
Banana Industry
Build your own nonviolence program
Building Empathy & Addressing Racial Oppression
Cocoa Campaign: Fair & Ethical Chocolate
Fair Trade 101: Global Trade & Racism
Fair Trade Labels
Fair Trade vs Free Trade
Privilege & Accountability for Aspiring Allies
Seeing and Disrupting Racism
Systems of Oppression: Racism, Global Trade, & Militarism
Talking With Kids About Racism
If other, what?
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?
*
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?
How would working with the Peace & Justice Center fit into your long-term plan to address equity and inclusion?
*
Required Questions for Racial Justice Program Requests
What are your organizations strengths when it comes to addressing racism?
What are your organizations weaknesses when it comes to addressing racism?
For all of our workshops (excluding film and book discussions) participants are expected to do prep work prior to each session. We except pre-work will take 30-45 minutes. Do you foresee this being a achievable expectation for your group?
For our workshops participants are expected to fill out individual registration forms. Do you foresee this being a achievable expectation for your group?
Not expected for one off programs brought to classrooms. If this is the case, please write N/A
Budget
In order to determine the cost of this program, we would like to know your organizational budget
*
Consider any budget that you may have access to. We define frontline groups as those directly impacted by the issues we are addressing.
$600,001 +
$350,001-$600,000
$100,000-$350,000
We are a frontline group, students under 25, or have little to no budget
Is there anything important we should know about your budget?
Other
Is there anything else that we should know?
