Name: Racial Equity Institute
Start: 2023-01-12
End: 2023-01-13

Name*
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Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Demographics
The following are optional questions to help YWCA Lancaster better understand the community we're engaging with!
What is your age?
- 17 years and younger
- 18-29 years
- 30-39 years
- 40-49 years
- 50-59 years
- 60+
- Prefer not to answer
What is your race?
- American Indian or Alaska Native (Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Tribal Government, Tlingit, etc.)
- Asian (Chinese, Vietnamese, Filipino, Korean, Asian Indian, Japanese, etc.)
- Black or African American (Nigerian, Jamaican, Ethiopian, Haitian, Somali, etc.)
- Hispanic or Latino (Mexican or Mexican American, Salvadoran, Puerto Rican, Dominican, Cuban, Colombian)
- Middle Eastern or North African (Lebanese, Syrian, Iranian, Moroccan, Egyptian, Israeli, etc.)
- Native Hawaiian or Pacific Islander (Native Hawaiian, Tongan, Samoan, Fijian, Chamorro, Marshallese, etc.)
- White (German, Italian, Irish, Polish, English, French, etc.)
- Prefer not to answer
What is your gender?
- Female
- Transgender Female
- Male
- Transgender Male
- Nonbinary
- Prefer not to answer
Suggested donation:

Racial Equity Institutes are provided without charge, but we appreciate your support of our programming! Suggested donation: $15-25
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Additional Information
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Date

Time

Racial Equity Institute

Racial Equity Institute

Demographics

Hourly Schedule

Thursday January 12

Friday January 13

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Date

Time

Racial Equity Institute

Racial Equity Institute

Demographics

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Hourly Schedule

Thursday January 12

Friday January 13

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