Training Request

Thank you so much for your interest in working with UPRISE! We’d love to hear a bit more about your community – who you are, your needs, the work you’re already engaging in to advance equity and liberatory practices, and your vision for how we can support you.

Please answer the following questions to the best of your ability. We may request a follow-up with you prior to developing a proposal if we find we need more information. Typically, turnaround time for creating a proposal based on what you provide here is about two weeks.

Section I: Point of Contact

Name (First, Last)

Email Address

Message

Phone

Pronouns

Organization or Group Name

Organzation or Group Website

Your Role in Your Organization or Group

How Many People in Your Organization or Group?

Section II: About Your Community

What is Your Group's Purpose or Mission?

What is Your Group's Status - 501(c)3, For Profit, B-Corp, Etc.?

What is Your Approximate Annual Operating Budget?

How Much of Your Annual Budget is Earmarked for Training and Consulation?

What Communities or Identity Groups do you Primarily Work With or Support?

What Type of Work is Your Group Interested In? What Type of Work is Your Group Interested In? Advancing Equity & Liberatory Practices Cross-Cultural Conflict Resolution Decolonizing Care Indigenizing Decision Making Social Stories Interrupting the Norms of Professionalism Culturally Humble Mental Health Practice Nonviolence in Social Services History of Youth Movements Leveraging Our Power Reimagine & Reclaim From Unhoused to Housed Exploring Disability Justice Data Justice Facilitation Coaching Other

If You Checked "Other," or Want to Expand on Any of the Above, What Else Can We Support You With?

Are you Interested in Virtual or In-Person Work? Are you Interested in Virtual or In-Person Work? Virtual In-Person We're Open to Both

If UPRISE is to Engage in This Work in Community With Your Team, What Would Be Some of the Goals, Outcomes, or Deliverables That We Could Identify Ahead of Time?

What Would Be the Timeline for Our Work Together?

Describe the Makeup of Your Team

What is Your Budget for This Work?

What is The Proposed Start Date?

Address (For Invoices and Billing)

Section III: Orientation

My Team Has Engaged in Equity Work in The Past and Is Ready to Go Beyond The 101 Level. My Team Has Engaged in Equity Work in The Past and Is Ready to Go Beyond The 101 Level. Strongly Agree Agree Neutral / Don't Know Disagree Strongly Disagree

My Team is Able to Sit With Terms and Concepts Like White Supremacy, Oppression, Colonization, Heteropatriarchy, and -Isms Without Letting Privileged Fragility Take Over the Space. My Team is Able to Sit With Terms and Concepts Like White Supremacy, Oppression, Colonization, Heteropatriarchy, and -Isms Without Letting Privileged Fragility Take Over the Space. Strongly Agree Agree Neutral / Don't Know Disagree Strongly Disagree

Our Team Has Built Strong Relationships With One Another That Facilitate the Carrying Out of This Work. Our Team Has Built Strong Relationships With One Another That Facilitate the Carrying Out of This Work. Strongly Agree Agree Neutral / Don't Know Disagree Strongly Disagree

Anything Else You'd Like to Share That Will Inform the Proposal We Will Submit For Your Review?

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