GROW Racial Justice Application for Thrive and Shift Cohorts


















What is your birthdate?








Religious Affiliation

All UUCSJ programs are open to people of any religious affiliation or no affiliation. Unitarian Universalism is a very inclusive faith. Our programs are designed to reflect the values and commitments of the UU faith while welcoming those of other faiths or lack thereof



If your congregation is not listed, select other

If your congregation is not listed, select other

If your congregation is not listed, select other

If your congregation is not listed, select other

If your congregation is not listed, select other

If your congregation is not listed, select other

If your congregation is not listed, select other

If your congregation is not listed, select other

If your congregation is not listed, select other




Identities: Please share a little about how you identify.












Financial Information
The cost for this program is $350. Cost includes lodging, food and all programming but does not include transportation to and from the program.


Include child support, alimony, government assistance, etc.








References: Please give contact information for two people who can comment on your experience and abilities regarding this opportunity.













*By signing this form, I confirm that to the best of my knowledge, the information provided in this application is true and correct.

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