TALKING CIRCLES
APPLICATION FOR PARTICIPATION
The Talking Circles on Race and Racism are frank, facilitated dialogues that give people the
opportunity for self-reflection, sharing of experiences, and influencing other’s perspectives and
attitudes. The Multicultural Resource Center & Diversity Awareness Committee hope to bring
approximately 20 racially diverse participants together over a five week period to discuss their
personal experiences with racial identity, race issues, and racism.
PLEASE COMPLETE THE FOLLOWING FORM & RETURN BY
DECEMBER 22nd VIA EMAIL TO FEMI OGUNDELE –
fogundele@ithaca.edu
Name: ________________________________________ Email: ____________________________________
School year: ________________ Major/Minor: _____________________________________________
M/F: _______ Race/ Ethnicity: _________________________ Hometown: ____________________
Are you willing to provide feedback via survey regarding your experience: Y / N
Please list any leadership roles and other involvement in organizations on campus:
Please explain your interest in participating in the Talking Circles:
Due to the complex nature of these conversations, I agree to keep confidential and will
not disclose any other participants’ identities, opinions, or experiences.
X_____________________________________________________________ Date: ____________________
For more information contact: Femi Ogundele at fogundele@ithaca.edu