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PeaceMaker Minnesota Partner School Application
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* Indicates required question
Name of school
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Your answer
School address
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Your answer
Name of Principal / Executive Director
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Your answer
Telephone
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Your answer
Email
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Your answer
Gender of the Principal or Executive Director. (This question is optional, but it is helpful for PeaceMaker Minnesota’s Diversity, Equity, and Inclusion efforts.)
Male
Female
Other
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Race of the Principal or Executive Director. (This question is optional, but it is helpful for PeaceMaker's Diversity, Equity, and Inclusion efforts.)
Your answer
Name of additional school contact (This should be the person implementing your school's peacemaking efforts, a personal doing the fundraising work, or an administrative assistant.)
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Your answer
Additional contact's mailing address (if different from school address)
Your answer
Additional contact phone number
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Your answer
Additional contact email address
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Your answer
Grade levels at your school:
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Your answer
Number of students enrolled:
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Your answer
Is your school a Title 1 School?
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Yes
No
Number of students who you consider to be low-income:
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Your answer
Percentage of students who you consider to be low income (# low-income divided by # of students)
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Your answer
What is the standard by which you are determining the number and percentage of low-income students?
Your answer
Percentage of your students who are Black, Indigenous, (and) People of Color
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Your answer
School district your school is in:
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Your answer
County your school is in:
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Your answer
Will your school employees be allowed to make payroll deducted contributions to PeaceMaker Minnesota as a way to generate funding that PeaceMaker matches to help your school pay for PeaceMaker Minnesota services?
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Yes
No
Which PeaceMaker Service do you plan on accessing?
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Peace Guide Services
Ambassador for Respect Services
Books for PeaceMakers
Required
Are there other ways that PeaceMaker Minnesota can help your students and staff members?
*
Your answer
Why do you want your school to join the PeaceMaker Minnesota Partner School network?
*
Your answer
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