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The Ombuds Office
145 1/2 West Lorain Street
Oberlin, OH 44074
Telephone: (440) 775-6728
Fax: (440) 775-6575
E-mail:
ombuds@oberlin.edu
Social Justice Institute Application
Name:
Oberlin E-mail:
OC Address:
(if known)
OCMR Box:
(if known)
Campus Phone:
(if known)
Permanent Phone:
Permanent Address:
Entering Class:
First Year
Sophomore
Junior
Senior
Major:
Year of Graduation:
To ensure the effectiveness of the institute, it is essential that participants come from diverse backgrounds.
Please answer the following questions as completely as possible. All answers will be kept confidential.
1)
Please identify yourself in terms of socio-economic background, gender, primary language, religion, ethnicity, age, sexual orientation, disability status, political orientation, etc.
2)
Why do you want to participate in the Social Justice Institute?
3)
What skills or other qualities enhance your ability to work with controversial issues in diverse groups?
4)
Is there anything else that you would like us to know about you?
