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Solidarity Dialogues | Cohort 2 | Registration

This form is used to register participants for the Solidarity Dialogues | Cohort 2. Information will be kept private and will only be used to tailor the curriculum design and to monitor the progress of the sessions. 

Personal Information

Please fill in any information that you are comfortable with sharing with the Solidarity Dialogues.

Age Range
20-30
30-40
40-50
50-60
60-70
70+
Gender
Prefer not to answer
Female
Male
Non-binary
Other
Education Level
High School
Undergraduate
Graduate
Doctoral
Post-Doctoral
Other
Do you identify as an Indigenous Person?
Yes
No
Prefer not to answer
Preferred means of contact
Phone
Email
Do you agree that PLEDJ shares your contact information (name, email address) with other members of the Cohort?
Yes
No
Maybe

PLEDJ | Canada

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© 2025 PLEDJ : Promouvoir le Leadership pour l’Empowerment, le Développement et la Justice – Tous droits réservés.

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