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New Hanover County Schools Diversity, Equity & Inclusion Committee Application
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* Indicates required question
Date:
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MM
/
DD
/
YYYY
Email:
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Your answer
Name:
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Your answer
Phone:
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Your answer
Address:
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Your answer
Optional: I identify my gender as:
Your answer
Optional: I identify as a person with a disability:
Yes
No
Optional: I identify my ethnicity/nationality/race as:
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Optional: Please indicate your age range below:
18-30
31-45
46-60
61+
Clear selection
Optional: Please state or list any reasonable accommodations you may need as a member of the committee:
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Please explain your interest in serving on this committee.
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Your answer
Please share who you are representing and the organized agencies for which you are affiliated.
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Your answer
Please share your experience serving on boards, committees, or other organized initiatives.
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Your answer
Describe any experience or training related to cultural competency, equity or diversity initiatives, educational instruction or policy, or other related fields or your interest in this area
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Your answer
Are you employed by or related to an employee of NHCS? If so, please list, including if you have a former affiliation (former student, parent of student?)
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Your answer
Please share your expectations of the committee and expected outcomes.
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Your answer
Please list skills and traits/characteristics and qualities you plan to bring to the table to help facilitate committee goals.
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Your answer
Please indicate how long would you be willing to serve? ( Please choose one)
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1 two year term
2 two year terms
Please share any additional information that you would like for us to consider as a part of this process.
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Optional: Please email your resume to Dr. LaChawn Smith at
lachawn.smith@nhcs.net
.
Please share the name of someone who could serve as a reference for you.
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Your answer
Phone number or email of reference:
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Your answer
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