Interest in Black Advisory Collective Form

Interest in Black Advisory Collective

We would love your support in upholding the ARCH Center’s mission, vision, and values; disrupting racism in health while amplifying the knowledge and experiences of Black and Indigenous peoples in our collaborative approach to community health equity action. 

Please fill out our form below to share your interest in BLAC as a community member, UW student, or faculty member. This form is reviewed by the ARCH Director and current BLAC leaders at the end of the academic year.

1.First name

2.Last name

3.Preferred email address

4.Which best describes your relationship to the UW?

Student Faculty Staff Member of the surrounding community

5.In a few sentences, please describe what anti-racism means to you (e.g., what are essential principles, behaviors, and actions)? How does anti-racism relate to your lived experience?

6.How do you envision contributing to [BLAC] to keep the ARCH Center accountable in advancing its strategic mission?

Interest in Black Advisory Collective

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