Name of Congregation:
City/State
Name of Contact Person
Daytime Phone Number
E-mail Address
ANSWER THE FOLLOWING QUESTIONS YES OR NO
Our congregation has a mission or vision statement that reflects an explicit
commitment to dismantling racism. Yes ( ) No ( ) [If yes, please
provide a copy.]
Our congregation has studied the 1996 report of the Racial and Cultural
Diversity Task Force, "Journey Toward Wholeness" and participated
in the
congregational Reflection and Action Process outlined in that Report.
Yes ( ) No ( )
Our congregation has participated in a "Journey Toward Wholeness"
Sunday.
Yes ( ) No ( )
Our congregation has an anti-racism or racial justice committee that is
funded from our general budget.
Yes ( ) No ( )
Our congregational budget reflects our commitment to achieving racial justice
by allocating funds for staff persons or lay leaders to attend seminars,
workshops, purchase resources, books, etc. Yes ( ) No ( )
Our congregation offers members structured support to deal with racism in
their daily lives. Yes ( ) No ( )
Our congregation has strategies to assure inclusivity of people of color.
Yes ( ) No ( )
Our congregation offers members organized channels of communication to
express their observations/feelings regarding racism within the congregation.
Yes ( ) No ( )
Our congregation is part of a coalition (interfaith or community) working to
achieve racial justice.
Yes ( ) No ( )
Our congregation intentionally advertises itself as an anti-racist community
of faith. Yes ( ) No ( )
Our congregation supports the minister when s/he takes a stand/preaches in
support of achieving racial justice.
Yes ( ) No ( )
Our congregation regularly hears sermons that reflect a theology of achieving
racial justice. Yes ( ) No ( )
Approximately how often per year? ___________________________
Language used in worship services reflects a commitment to ending racism.
Yes ( ) No ( )
The music in our Sunday service is drawn from a wide diversity of sources.
Yes ( ) No ( )
Our church facilities reflect a valuing of racial/cultural diversity. Yes (
) No ( )
Policies and procedures in the area of employee recruitment, outreach,
application and interviewing reflect an anti-racist workplace. Yes ( )
No ( )
Our congregation is known in its community for not tolerating racist
practices and policies. Yes ( ) No ( )
Our congregation has an unfunded anti-racism or racial justice committee.
Yes ( ) No ( )
Our racial justice work is conducted through our Social Justice committee.
Yes ( ) No ( )
Staff, congregational leaders, and core volunteers have participated in
anti-racism workshops within the past three years. Yes ( ) No ( )
Which ones?
Does your congregation commit time and financial resources to support
community groups working against racism? Yes ( ) No ( ) Which
groups? (Please list.)
1.
2.
3.
...
Does your congregation collaborate with interfaith and/or other UU groups
working against racism? Yes ( ) No ( ) Which ones?
1.
2.
3.
...
How does the congregation understand the definition of racism?
Options: ________ No concensus
________ People are at different stages
________ Power + privilege model
________ Other models: define
___________________________________________________
What is the congregation's understanding regarding white power and privilege?
In the past five years, how has the congregation become involved in issues
related to racial justice?
In what ways does your adult religious education programming reflect an anti-
racist perspective?
In what ways does your youth religious education programming reflect an
anti-racist perspective?
In the context of worship, how is the message given that diversity is
honored, affirmed and respected in your congregation? (Recommend: list all
the responses)
What is the positive institutional history of the congregation regarding
racial concerns? (Recommend: list all the responses)
What is the negative institutional history of the congregation regarding
racial concerns? (Recommend: list all the responses)
Has your congregation offered racial justice book discussion groups? If so,
which books have you used?
Has your congregation offered racial justice video presentations? If so,
which videos have you used?
In what ways are people of color involved in the congregation?
What is the biggest issue facing the congregation concerning racial justice?
What general programmatic racial justice efforts has your congregation made?
( ) None ( ) Art displays
( ) Choir exchanges ( ) Community social service projects
( ) Cultural/social activities ( ) Forums
( ) Language/liturgy ( ) Multi-cultural potlucks
( ) Music programs ( ) Outreach
( ) Policy changes ( ) Pulpit exchanges
( ) Raised money for social justice work ( ) Rentals
( ) "Journey Toward Wholeness" Sundays ( ) Worship Services
( ) Other (Please list:__________________________________________________________________)
Anti-Oppression workshops in which your congregation has participated:
( ) Beyond Categorical Thinking ( ) District Social justice
anti-racism workshop(s)
( ) Jubilee World I ( ) Welcoming Congregation
( ) Jubilee World II ( ) Other: Please
describe:___________________________
Religious Education curricula in which your congregation has participated:
UU for Adult UU for Youth/High School:
( ) How Open the Door? ( ) How Open the Door?
( ) In Our Hands ( ) In Our Hands
( ) Weaving the Fabric of Diversity ( ) Weaving the Fabric of
Diversity
( ) Welcoming Congregation ( ) Welcoming Congregation
( ) Parents as Social Justice Educator ( ) Parents as Social
Justice Educator
( ) Other: ______________ ( ) Other: ______________
UU for Children: From Other Sources:
( ) In Our Hands ( ) ABC Curriculum
( ) Race to Justice ( ) Can't We All Just Get Along?
( ) Rainbow Children ( ) Open Minds to Equality
( ) Rainbow Making ( ) Study Circles: Conversations on
Race
( ) Other: ______________ ( ) Roots and Wings
( ) Color of Fear
( ) Other: ______________
Approximately what proportion of your congregation has been involved in your
racial justice programs within the last five years ? _______________
Overall, what level of priority does the congregation give to achieving
racial justice? 1 2 3 4 5 (1-low level to 5- high level)
How would you evaluate the effect of your current efforts? ( ) No progress
( ) Limited progress ( ) Good
momentum
DEMOGRAPHICS
(need only one per congregation)
Name of
Congregation:_________________________________________________________________
Please describe the racial ethnic inclusivity of your church: (# - %)
Adult voting members: _______________ Total No.
Active non-member friends: ___________Total No.
# %
African American _____ _____
Asian American _____ _____
Multiracial _____ _____
Other Non White _____ _____
Latino _____ _____
Native American _____ _____
Approximate % of attendees at Sunday Services who are of the above ethnic
groups:
______________________________________________________________________________
__
Number of Church Board members who are of the above ethnic groups:
___________________members out of _____________________Board members.
Approximate % of children attending R. E. program who are of the above ethnic
groups: list
______________________________________________________________________________
__
Estimated Racial/Ethnic Populations for the city in which the church is
located:
# %
Total Population ______ ______
African American ______ ______
Latino ______ ______
Asian American ______ ______
Native American ______ ______
Other Non-White ______ ______
White ______ ______
The following people were involved in completing this form:
YES NO
Minister (s) ( ) ( )
MRE or DRE ( ) ( )
Board Chair/President ( ) ( )
Other Board Members ( ) ( )
Finance Chair/treasurer ( ) ( )
Music Director ( ) ( )
Member(s) of the Religious Education Committee ( ) ( )
Member(s) of the Social Justice/Social Action Committee ( ) ( )
Member(s) of the Denominational Affairs Committee ( ) ( )
Member(s) of the Music committee ( ) ( )
Members of Social Activities ( ) ( )
Members of the Membership Committee ( ) ( )
Others (please specify): _________________________________________