Parent/Caregiver Workgroup Interest Form

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If you are interested in being a part of the My Brother's Keeper Workgroup focused on improving the process of preparing young men of color for life after high school, please complete the form below.

ImpactTulsa will prioritize the voices of young people and their parents/families, in shaping the substance and scope of work (as the people most directly affected by the issue area). In order to value participants’ time and expertise in an equitable way, ImpactTulsa is pleased to offer quarterly stipends of $180 to youth and young adults, parents/caregivers of youth or community volunteers who are connected to and interested in the goals of post secondary success.

First and Last Name

Phone Number

Race/Ethnicity

Are you a resident of the city of Tulsa?

Are you a parent or caregiver of a young man of color under the age of 22?

I affirm that I am not employed or affiliated in an officially capacity with an organizational partner of ImpactTulsa. *

I am interested in improving the conditions of young men of color in Tulsa through equity based approaches.

Which workgroup are you interested in participating on?

Please select one.

Milestone 1 focused on eliminating suspensions and expulsions in early childhood settings (pre-k through 3rd grade)

Milestone 3 focused on improving post secondary preparedness indicators including work-based internships, college-prep coursework, dual concurrent enrollment, CTE-Certificate/Program and the Individual Career and Academic Plan (ICAP).

What days & times of the week that work best for you? [Select all that apply]

Workgroup meetings will typically last 2 hours or less, at least once per month. Please select all that apply.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

9 - 11am

11am - 1pm

1pm - 3pm

3pm - 5pm

Clear selection

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