Division of Inclusion and Equity

Inclusion Advocate/Champion Application

Name: *
Campus Address: *
G Number: *
Department: *
Job Title: *
Job Type:
Start Date with GVSU: *
If faculty, are you tenured?

Have you attended an Institute for Healing Racism program?


If yes, what year did you attend?


With whom did you attend?


Please state why you would like to become an inclusion advocate: *


Please list your previous work, service or learning experiences that are related to advocating for inclusion (across any dimension of diversity, including: age, color, disability, familial status, height, marital status, national origin, political affiliation, race, religion, sex/gender, sexual orientation, gender identity and expression, veteran status, or weight etc.): *


Please describe the strengths you bring to this role: *


Please list any other information you feel is relevant:

Which role are you applying for?

Inclusion Advocate (must meet program learning requirements (attend orientation, an Institute for Healing Racism and bi-annual meetings) and attain tenure (for faculty) or complete probationary status and 12 months of service (for staff)

Inclusion Champion (may be non-tenured or on probation)