1. Give a brief history of yourself.  Please include information regarding your experiences when working with issues of discrimination, cross-cultural conflict mediation, and/or issues of oppression.
2. Give your understanding of the current climate of diversity within the Penn State community.

3. Give a list of organizations/activities that you have been a part of and explain your role in the organization within the last year.

4. Name three or four reasons why you would like to be a member of the Zero Tolerance for Hate Penn State Support Network. We encourage you to be as specific as possible.

5. Have you experienced an act (or acts) of discrimination, prejudice, and/or hate?

6. How do you feel about working and communicating with others who have experienced acts of discrimination, prejudice, and hate?

How did you find out about the Support Network?

I understand that as a participant in the Zero Tolerance for Hate Penn State Support Network, I am openly declaring my support against acts of intolerance.  Upon receipt, I agree to publicly display the Respect Comes Full Circle sticker. I understand that as a participant in the Support Network my name and contact information (as listed above) will be published in various media and available to those who request it. I agree to the mission, purpose, and member responsibilities of the Support Network as stated on this Web site, as well as Penn State Policy AD-42. I understand that failure to adhere to the member responsibilities may result in my being removed from membership in the Support Network.

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