Building Power for Change: Equity Workshop, Registration (Saturday July 7th, 9 AM

Thank you for your interest in the Building Power for Change: Equity Workshop for Hamilton County Leaders and Organizers. This session will be held Saturday July 7th, 9 AM - 1 PM at New City East Lake ( 2903 E 37th St, Chattanooga, TN 37407).

This session is intended to be the first step in a series of growth opportunities UnifiEd offers for community members seeking to ensure that all of young people have the opportunity to succeed and flourish while in school and after they graduate.

Our goals for the training are to:

(1) Build relationships, share stories, and grow empathy for neighbors

(2) Understand shared language for our work

(3) Learn about the history and politics of education policy

(4) Develop skills

(5) Share stories and vision together about Hamilton County schools

Thank you for registering and answering some questions about yourself. This should take about 5 minutes and will help us prepare for our time together.

What is your name?

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* 1. What is your name?

What is your telephone number?

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* 2. What is your telephone number?

What is your email?

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* 3. What is your email?

What is your age?

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* 4. What is your age?

Under 12 years old

12 - 17 years old

18 - 24 years old

25 - 34 years old

35 - 44 years old

45 - 54 years old

55 - 64 years old

65 - 74 years old

75 years or older

What is your gender?

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* 5. What is your gender?

Ethnicity Origin or Race

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* 6. Ethnicity Origin or Race

White

Hispanic or Latino

Black or African American

Native American or American Indian

Asian Pacific Islander

Other

What is your education history? (check all that apply)

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* 7. What is your education history? (check all that apply)

Less than high school

Some high school

GED

High school dipolma

Trades/Vocational training

Bachelors Degree

Masters Degree or Higher

Other

Do you have food allergies? If so, please list them below.

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* 8. Do you have food allergies? If so, please list them below.

Do you need physical support to attend the meeting? If so, what do you need?

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* 9. Do you need physical support to attend the meeting? If so, what do you need?

What is your current zip code?

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* 10. What is your current zip code?

Do you have someone in your family currently attending a Hamilton County school? What is (are) their experiences(s)?

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* 11. Do you have someone in your family currently attending a Hamilton County school? What is (are) their experiences(s)?

Is there something that we should know or that you would like to add?

Building Power for Change: Equity Workshop, Registration (Saturday July 7th, 9 AM - 1 PM)

Building Power for Change: What are our goals?

Question Title

* 1. What is your name?

Question Title

* 2. What is your telephone number?

Question Title

* 3. What is your email?

Question Title

* 4. What is your age?

Question Title

* 5. What is your gender?

Question Title

* 6. Ethnicity Origin or Race

Question Title

* 7. What is your education history? (check all that apply)

Question Title

* 8. Do you have food allergies? If so, please list them below.

Question Title

* 9. Do you need physical support to attend the meeting? If so, what do you need?

Question Title

* 10. What is your current zip code?

Question Title

* 11. Do you have someone in your family currently attending a Hamilton County school? What is (are) their experiences(s)?

Question Title

* 12. Is there something that we should know or that you would like to add?