Capital Equity - Interest Form
Please use this form to indicate your interest in joining Capital's equity work in 2021. Our goal is to create diverse teams across our schools representing each of our stakeholder groups. The Equity Core Team will review all submissions and be in touch with specific opportunities to participate.
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Email *
What is your name? *
What is your phone number? *
What is your role in/with Capital School District? *
Required
What school or schools are you affiliated with? *
Required
If you are a staff member, what is your job within the district?
Equity teams will collaborate for two hours each month. What days & times would work best for your schedule?
8 am to 10 am
10 am to 12 pm
12 pm to 2 pm
2 pm to 4 pm
4 pm to 6 pm
6 pm to 8 pm
Monday
Tuesday
Wednesday
Thursday
Friday
List your top three sources of information on equity and diversity (podcasts you listen to, books/journals you read, news stations, other sources)?
How comfortable do you feel:
Very comfortable
Comfortable
Not sure
Uncomfortable
Very uncomfortable
Understanding the needs and concerns of diverse populations?
Participating in discussions of diversity with adults?
Facilitating discussions of diversity with students?
From the options listed below, which are you interested in?
What are the top three equity issues in our district and/or in your school?
In your opinion, which groups of students and/or staff are most likely to encounter barriers to taking advantage of opportunities in our district and/or in your school?
Is there any other information you would like to share?
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