Babylon Alumni and Allies for Change Survey

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Confidential survey only read by leadership

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Name

What is your email address? *

Select all that best describe you *

BHS Alumni

Babylon Community Member

Parent of Student or Alumni

Ally to the Cause

BHS Survivor

Survivor of Sexual Violence outside of BHS

必填

Select all skills that you can contribute *

Microsoft Suite

Google Suite

Social Work with sexual violence survivors

Legal Expertise

Fundraising

Social Media Marketing

Research

Website Management/UX Design

Non-Profit Administration

Business Administration

Familiarity with the Justice System

Educator/School Administrator

Mental Health Counselor

Wellness/Holistic Trauma Healing Approaches

Grass Roots Organizing

Local/State Legislative Expertise

Other Skills that you think are relevant to help us achieve our goals

必填

If you checked other skills please list them here OR let us know your contact with these skills who you might put us in touch with.

Are you trained to facilitate peer support groups for survivors of sexual violence, and if so would you like to provide this service to the community?

Are you interested in a leadership/strategic role? If so, why?

Do you currently live in the Babylon School District? *

Yes

Recommended goals or suggested pathways for accountability and behavior/cultural change at BHS

Weekly time commitment you can guarantee *

1 hour or less

2-5 hours

5-10 hours

15-20 hours

On a scale of 1-10 how enthusiastic and committed are you to this cause?

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Additional comments or suggestions

提交

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