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Improve Student Equity Discovery Survey
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1
What is
your #1 challenge
with creating more equity in your school amongst all races and backgrounds?
*
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(Please be as descriptive and detailed as possible so we can help you)
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2
What’s your age?
*
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21-24
25-34
35-44
45-54
55-64
65+
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3
What school level do you work at?
*
This field is required.
(Choose one or more that apply to you)
Pre-K
Elementary School
Middle School
High School
Central Office (District office, etc.)
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4
What is your position in your school or office?
*
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Teacher
Counselor
Principal
Assistant Principal / Department Head
District Administrator
District Superintendent
Other
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5
How long have you been in your position?
*
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0-1 years
2-3 years
4-6 years
7-9 years
10+ years
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6
How confident do you feel about leading a change to address inequity among students?
*
This field is required.
On a scale of 1-5 (1 being the lowest and 5 being the highest)
1
2
3
4
5
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7
What would it look like for you to create more equity in your school as it relates to race, gender, disability, ethnicity, etc.?
*
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(Please be as descriptive and detailed as possible so we can help you)
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8
What is your name?
*
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First Name
Last Name
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9
What is your best email?
*
This field is required.
example@example.com
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10
Would you like to sign up for my bi-weekly “Lessons on Social Justice In Schools” Text Message conversation and receive a call from me so I can find out more about your challenges and needs? If yes, please provide your cell phone number.
Please enter a valid cell phone number.
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