Campus address (if known):
Campus phone (if known):
Preferred Gender Pronoun (i.e. he, she, they, ze, etc.)
Please indicate if you are:
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.
Please identify yourself in terms of socioeconomic background, gender pronouns, primary language, religion, ethnicity, age, sexual orientation, disability status, political orientation, etc.
Why do you want to participate in the Social Justice Institute?
What skills or other qualities enhance your ability to work with controversial issues in diverse groups?
Anything else you would like us to know about you?
I truly enjoyed this experience and it fulfilled my highest hopes of
what the workshop could be. It confirmed my belief that Oberlin is
the right place for me.
The Office of Ombudsperson
68 S. Professor, 2nd Floor
Oberlin, OH 44074
Phone: (440) 775-6728
Fax: (440) 775-6907