Join our Peer Learning Community!

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Be a part of the Anti-Racism in Public Health Peer Learning Community and connect with other public health practitioners, community organizers, health departments, and other partners to share, learn, and grow in the work to advance racial health equity and declarations of racism as a public health crisis.

We appreciate your time in responding to the questions below and for your interest in participating.

Have questions? Please contact Sara Rogers at srogers@networkforphl.org or visit herenow.org.

Email *

What is your name?

What is your organization?

What is your role?

Which of the following best describes your organization? (if not reflected in this list, please use the "Other" option to describe your organization)

Academic Institution/University

Community group or coalition

Education, K-12

Healthcare delivery organization

Faith-based organization

Federal agency

Legal services

Local health department

Local agency, non-health

Nonprofit

Private sector business

Research or policy organization

State health department

State agency, non-health

Tribal organization

Other:

Clear selection

In what region of the country is your organization located? (Please answer using this HHS Regional Office chart)

Region 1 (CT, MA, ME, NH, RI, VT)

Region 2 (NJ, NY, PR, & VI)

Region 3 (DC, DE, MD, PA, VA, WV)

Region 4 (AL, FL, GA, KE, MS, NC, SC, TN)

Region 5 (IL, IN, MI, MN, OH, WI)

Region 6 (AR, LA, NM, OK, TX)

Region 7 (IA, KA, MO, NE)

Region 8 (CO, MT, ND, SD, UT, WY)

Region 9 (AS, AZ, CA, FM, GU, HI, MH, MP, NV, PW)

Region 10 (AK, ID, OR, WA)

Clear selection

We understand that there are many necessary approaches to advancing racial justice. One of the focus areas of this workgroup is centering on declarations of racism as a public health crisis.

Where is your organization in the process of developing, passing, or implementing a declaration? (please check all that apply)

Just getting started

Exploring declarations

Passed a declaration

Implementing a declaration

I would like additional support around declarations

Declarations are a non-starter in my jurisdiction, I would like to know what else we can do

What is a current challenge in your racial equity work that you would like to explore with this community?

Is there a particular success story and/or lesson learned from your racial equity work that you’d like to share with this community?

Comments/Questions:

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