Student (Grades 6-12)and Faculty/Staff Sign-Up Form: Video Conversation with those who Commute to School in Active Ways
If you travel to or from school by walking, biking, bus, train, carpooling, scootering, rollerblading, skateboard, wheelchair, or other interesting way, we would love to hear from you!  Video interviews will be 20-25 minutes long and on Zoom.
Thank you! We will be in touch soon. 
- "What Moves Everett Schools" Interview Team
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What is your name? *
What grade are you in? *
What school do you go to/work in? *
In what ways do you get to school?  *
Required
In what ways do you leave school (if different from above?)
What is your gender? *
What is your race? (You may check more than one box). *
Required
Are you Hispanic or Latino? *
What is your email address and/or phone number?  *
We ask that a parent or guardian of each student participant sign a media release form before participating. (Faculty/Staff will be asked to sign their own) Is this OK?  *
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