Worksheet

2021/22 Virtual Village Equity Access Request Form

I offer discounted “Equity Access” for BIPOC women, rooted in a reparations framework/mindset. This is my contribution to Black, Indigenous, Latinx, Asian, and mixed-race mothers struggling on the front lines and navigating the intersectionality of their identities. I see you, and I greatly value your presence in this space and contribution to the Virtual Village.

1.

Do you consider yourself a Black, Indigenous, Latinx, Asian or mixed-race mother?

2.

I am offering two Equity Access options to the Virtual Village. You can choose to pay $19 per month or $9 per month instead of the full price of $29 per month. Which option are you requesting?

3.

Your name, please.

4.

*Important Note: Once you've submitted this application, you will be hearing back from us. Please check your spam folder if you don't receive a response.

Click "Save Worksheet" below to submit your request.

powered by
Simplero