Brave-Space-Waitlist - RuthKing.net

Brave Space Waitlist

Please complete this form so that we can inform you when registration becomes available. [Privacy Note: The information provided in this form will be used solely for the purpose of processing your application for the Brave Space program. Your information will be kept confidential and will not be shared with third parties.]

Name(Required)

First Last

Address(Required)

Street Address City & State ZIP/Postal Code Province/Country

Email(Required)

Enter Email Confirm Email

Tell us your preferred pronoun.

Please add me to the 2024 Fall Brave Space Notification(Required)

Please tell us how you racially identify.(Required)

What most closely characterizes your racial identiy? Indigenous Peoples/Native Americans, Pan Asian/Pacific Islander, Black/African Americans/ Pan African, Latinx/o/a/Hispanic, Middle Eastern, White - European.

Share with us your gender identity.

Have you completed the Mindful Of Race 101 prerequisite?(Required)

You must complete this course before June 15, 2024. Check our Online Academy for Mindful of Race 101 (https://ruthking.net/mindful-of-race-training/)

No - No problem - Complete this course before submitting your application

Yes - Great - Indicate your completion date on your application

How do you anticipate enrolling?(Required)

If you plan to enroll with a group, each member must apply separately.

As an Individual

As part of a group

Comments

The next Brave Space Cohort is scheduled to begin September 2024. Application Period opens March 1. Have a comment or question for us? Ask away.