Qualtrics Survey | Qualtrics Experience Management

Please share your name and contact information.

Name

Phone

E-mail Address

Select all that apply.

I am currently an SIUE faculty member.
I am currently an SIUE staff member.
I graduated and/or attended SIUE as a student.
I used to be an SIUE faculty member.
I used to be an SIUE staff member.

If you are/were an SIUE employee, please share your department, academic unit, or office.
If you were an SIUE student, please share your graduation/credential date and/or dates of attendance; you can also optionally share what program you were in as a student.

What, if any, particular identity groups are you part of that are under the NER Coalition umbrella (for example, Jewish, Muslim, Baháʼí, Hindu, Buddhist, Wiccan, Druid, pagan, atheist, agnostic, secular, etc.)?

If you do not have a non-religious, ethno-religious, and/or religious minority identity, you can note here that you are an ally.
This question is optional --- you do not need to disclose your particular identity to join the NER Coalition. However, disclosing your identity/identities will help enable the formation of caucuses (suborganizations of the NER Coalition that serve as microcommunities for a particular shared identity within the NER umbrella framework, e.g., a Jewish Caucus, a Muslim Caucus, an Atheist Caucus, etc.).

The NER Coalition is an affinity organization representative of Southern Illinois University Edwardsville’s goal to be more inclusive, equitable, and diverse. The NER Coalition's mission is to provide support, advance the interests, and promote the welfare of non-religious and religiously diverse faculty and staff at SIUE, and to challenge Christian supremacy through helping strengthen campus community, advocating for an SIUE where secular, religious minority, and ethnoreligious minority staff, faculty, and community members feel a robust sense of belonging and inclusion.

Do you agree to support the NER Coalition's mission and goals?

What kind of membership do you want?

I want to be an active (voting) member. (Active members can vote, serve as officers, form caucuses, and serve as caucus representatives on the NER Coalition Executive Board.)
I want to be a support member (supportive of the coalition but not a voting member).
I no longer want to be a member. Please terminate my membership.

Do you have any particular service interest that you want to share at this time, or anything else you would like to share?