Parent / Guardian interest survey regarding increasing diversity at Shabazz

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If you are a parent / guardian of a Shabazz student and either you or your child is a person of color, please fill out this short survey to let us know you are willing to share your experiences at Shabazz with our team. This survey will tell us who you are and your preferred method of contact. We will then contact you to set up a time to talk.

We are committed to listening openly, managing our own internal reactions to prevent burdening you, and maintaining your confidentiality as we work to increase the racial/ethnic diversity at Shabazz.

-The Increasing Diversity at Shabazz Task Team

Email *

Your Name *

What is your student's name? *

Is your child currently enrolled at Shabazz? *

Yes

How you would like to be addressed when we speak with you. (first name, by a title, Mrs/Mr, Ms, etc) *

What is the best way to reach you to schedule a conversation? *

Phone

Text (our ability to text is limited)

Your phone number: *

We would like to use a conversation format to listen to your feedback about your experiences with Shabazz. What are your preferences? (Check all that apply) *

At school

At your home

At another location like a library or coffee shop

Using a video call like Facetime or Skype?

Over the telephone

I don't want to talk with anyone but I would be willing to answer questions in writing

Required

Which member of the task team would you like to have this conversation with? *

Amy Bajkiewicz (Resource Teacher)

Julie Evert (Resource Teacher)

Aaron Kaio (Social Studies Teacher)

Colleen Kellogg (English Teacher)

Susan Kaye (School Social Worker)

Required

Send me a copy of my responses.

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