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BIPOC Youth Group

We are excited to have you here! EmpowerMT's Racial Justice Engagement Specialist (RJES), Alex Kim, will be hosting a monthly BIPOC constituent group the last Thursday of every month during the summer. Our first meeting will be held

June 25th, 2020, 4-5 pm via Zoom!

We are stoked to have any young BIPOC folx attend our group. This is a space for BIPOC youth to be in community and in solidarity. A space to learn and grow together. See you soon!

Name of Youth

First Name

Last Name

Pronouns

Pronouns are a way for us to refer to you without using your name. Some common examples are they/them/theirs, she/her/hers, and he/him/his, but many other options exist.

School:

Name of Parent/Caregiver

First Name

Last Name

Contact Information

Youth Email

Verify Email

Parent/Caregiver Email

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

Group interest

Please check all that apply.

Focus group

BIPOC group

Both

What are your expectations for a BIPOC youth group?

What are you looking for in a BIPOC youth group?

Please share any other information you'd like us to know about your interest in the BIPOC youth group: