Application

Apply here

Thank you for your interest in the Affiliate Program for Courageous Conversation. This application is for our Affiliate Practitioner certification through LEARN Courageous Conversations About Race.


As you complete this online application, note the supported browser is Google Chrome (Mozilla Firefox, Safari, and Internet Explorer are not compatible). If you would like to access a word document of this application to later cut and paste your responses into this online form, scroll to the bottom of the page.


Email [email protected] if you need any technical assistance.

Complete the Video Response here

Your Student I.D. is apply (all lower case).


State your first and last name,

Then respond to the prompts:

A.1: Why is talking about race important to addressing racial equity in your field (name it here)?

A.2: How can you promote racial equity in your role to advance the access and success for groups of color - specifically black and brown youth/clients/constituents/colleagues?

A.3: What are your personal beliefs about racial equity in your field and how does this impact the work you do/services you specifically deliver?

Open the video recording window below, click record, "next" arrow, "next" arrow, take a selfie, type in your name, then click "SUBMIT". Repeat for questions 2 and 3.
You also have the option to download the free Flipgrid app and use your mobile device instead of the computer and embedded video windows below. Here are the links to click on after you have already installed the Flipgrid app:
Question 1 [flipgrid.com/591e5f2e] Question 2 [flipgrid.com/25c1906d] Question 3 [flipgrid.com/ce872663]



Printable Online Application Form

The online form does not autosave. If you leave it and come back, prepare to start over.  If it is helpful, complete your responses on the word document below and then copy and paste your information into the form when you are ready to submit.

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