SESA WO SUBAN SERVICE PROVIDERS STEP 1 CLICK HERE FOR FACILITATORS REGISTRATION FORM STEP 2 CLICK HERE FOR SERVICE PROVIDERS ASSESSMENT FORM STEP 3 CLICK HERE FOR SERVICE PROVIDERS DIRECTORY AND STORE SUBMISSIONS FORM STEP 4 CLICK HERE TO REGISTER AS A STORE VENDOR FACILITATORS REGISTRATION FORM First Name: Last Name: Phone Number: Email: Social Media: Address: Zip code/Postal code: Country: Upload references and certifications: Upload a profile picture (As clear as possible): Send SERVICE PROVIDERS ASSESSMENT FORM My Brotha’s Keeper International (MBK) Service Provider Screening and Vetting Questions: When a king has good counselors, his reign is peaceful – (Ashanti proverbs) Dr. Amos Wilson admonishes us to Afrakanize everything in the interest of decolonizing ourselves. To Afrakanize everything means to decolonize everything. Please answer all questions as honestly as possible: 1. Are you Male or Female? Male Female 2. Are you a Afrakan-centered service provider? Yes No 3. Are you a registered/certified/licensed Coach/teacher Counsellor/therapist Workshop facilitator Other please specify)....... 4. I provide services that benefit Black men I provide products that benefit Black men I provide products and services that benefit Black men I provide services for all men 4b. How does your product or services benefit Black men? 5. What does being Afrakan-centered mean to you? My product or services promote and advocates emphasis on Afrakan culture My product or services promote and advocates emphasis on Afrakan contributions My product or services promote and advocates emphasis on African-American culture/contributions We value the anti-Black male misandry work of Dr. T. Hasan Johnson, who has established the Institute for Black Male Studies and the Onyx Report. Dr. Tommy J Curry has established the first Black Male Studies program at the University of Edinborough in the United Kingdom. He is also the author of “Man-Not: Race, Class, Genre and the Dilemmas of Black Manhood.” 6a. Are you familiar with anti-Black male misandry and how it affects Black men? Yes No 6b. Does your product or service advocate against anti-Black Male Misandry so that Black Men, Males and Boys are empowered? Yes No A key component of Black men healing is for them to recognise their value as being complementary to the Black woman. Baba Mwalimu K. Omani Buruti focuses on this work, which includes building a shared mission, knowing who your common enemy is, and knowing the difference between raising v.s. rearing an Afrakan child. 7. Does your product or service promote or advocate complementary relationships between Black men and Black women? Yes No 8. Are you licensed, registered or certified to sell the products and/or services you provide? Yes No 9. Does your product or service promote and advocate decolonization via cultural, psychological and economic freedom? Yes No 10. How many years have you been practicing in your chosen field? 1-5 Years 5 -10 Years 10 or more 11. Which best describes your work ethic and character? My word is bond: I do what I say I'm going to do I have a tendency to over-extend myself I have difficulties with time-management and letting others know I can't commit. I really want to help and struggle with making commitments 12. Before you go ahead filling out the rest of this form will this be a conflict of interest with your line of work? Yes No Send SERVICE PROVIDERS DIRECTORY SUBMISSIONS FORM To be added to our online business directory and store please fill out the form with your details below: Company Name: Discription of your business and services: Phone No. Email: Website: Send