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Racial Healing Justice and Reconciliation Request Form
In emergencies please contact Kelli Ray Gibson at
kgibson@episcopalct.org
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* Indicates required question
Name
*
Your answer
Email address
*
Your answer
Requested Due Date?
*
MM
/
DD
/
YYYY
Level of Priority?
*
Low (within 2-3 months)
Medium (4-6 weeks)
High (1-2 weeks)
Please identify which of the four steps does this request seek to address?
*
Address the history of White supremacy
Facilitate the conversation on racism
Identify models of reconciliation around the issue of racism
Encourage more civic involvement surrounding the issue of racism
Required
Project Type Format
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What will this resource be used to aid in?
Bible Study
Presentation
Guided Conversations
Small Group Discussions
Other:
Which Parish?
*
If not a Parish please specify
Your answer
Describe your request here in as much detail as possible
*
Your answer
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