Cultural Humility Poll

The Justice & Reconciliation team thanks you for your information and participation in the Cultural Humility Introductory Training. If you would like to participate in the follow-up workshop on August 1, 2020 from 10 am - 12 pm, and/or be notified of future events, please complete your contact information below. If you have not previously completed the poll questions, please respond to Poll 1. Once you Submit Form, you will receive an email confirmation.

Resources may be found on the Justice & Reconciliation website or at the Conference's Anti-Racism Resources website

*First Name
*Last Name
*Email
*Have you previously completed the Cultural Humility Poll Questions?
Yes
No

Thank you for previously completing the Cultural Humanity Poll. 

Poll 1:

This poll should be completed prior to viewing the video. 

What is your level of understanding about White Privilege?
No answer
No understanding
A slight understanding
A moderate understanding
A strong understanding
Rather not respond
What is your Racial Ethnic Identity
No answer
African
Asian
Black
Hispanic/Latinx
White
What is your role?
No answer
Organizer, facilitator, panelist, and/or observer
Participant
Poll 2:

This poll should be completed when you are directed by the presenter to do so. 

Row Labels
No answer
1- Exclusive: A segregated Institution
2- Passive: A “Club” Institution
3- Symbolic change: A Multicultural Institution
4- Identity Change: An anti-Racist Institution
5- Structural change: A transforming Institution
6- Fully Inclusive: A Transformed Institution in a Transformed Society
Poll 3:

This poll should be completed when you are directed by the presenter to do so. 

Row Labels
No answer
1- Exclusive: Segregated
2- Passive: A “Club” Institution
3- Symbolic change: Multicultural
4- Identity Change: Anti-Racist
5- Structural change: Transforming
6- Fully Inclusive: Transformed
Poll 4:

This poll should be completed at the conclusion of the video. 

How would you rate systemic racism as a problem in the Western North Carolina Conference?
No answer
A slight problem
A moderate problem
A severe problem
What is your level of understanding about White Privilege?
No answer
A slight understanding
A moderate understanding
A strong understanding
Unsure
What is your Racial Ethnic Identity
No answer
African
Asian
Black
Hispanic/Latinx
White
What is your role?
No answer
Organizer, facilitator, panelist, and/or observer
Participant

Thank you for completing the Poll. Please click Submit Form to close the Poll. 

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