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First Name *

Last Name *

Email *

Username *

Password *

Confirm Password *

Preferred Name

Which pronouns do you prefer? https://pronouns.org/what-and-why *

Organization/Affiliation

Title/Role

Email list preferences *

Mobile phone *

About me

Date of Application *

Aspiring Community Organizer/Advocate *

Current Community Organizer/Advocate *

List your advocacy/socially engaged work or interest area. *

Have you ever or do you currently live/work in a Freedmen's settlement? (African American municipality or community built by freedmen, formerly enslaved people who were emancipated during and after the American Civil War.) *

Have you ever or do you currently live/work in a historical Black community? *

Do you identify as BIPOC? (Black, Indigenous, or a person of color) *

Do you have reliable access to the following? (Select all that apply) *

Do you require any specific accommodations to access the course content? (Select all that apply) *

Which courses are you interested in? (Select all that apply) *

How do you intend to implement the information gained from the Certification Program in your work or community? *

How did you hear about the TCLP Certification Program? *

I am committed to active participation in the Program and will seek necessary support to allow me to engage with the curriculum (approximately 15 hours per program). *

What lived and/or organizing experience, skills, or interests are you bringing to the Program? *

I accept the terms*

If you’d like to apply for the Black Liberation and Just Transition Certification Program, please complete the entire application form below. Applications submitted between September 16 and October 15 will receive a decision by November 1.

Sep 16-Oct 15 Application