EPiC Parent Collectives are spaces designed to grow, develop, and support Black parent leaders by bringing together caregivers and community members to connect, learn, and engage around issues that impact children’s educational experiences, including special education practices, discipline approaches, and access to resources. Through shared learning, relationship-building, and reflection, Collectives help parents strengthen their leadership, deepen understanding of school systems, and explore ways to contribute to improvements that support students who are sometimes marginalized and their families. Joining an EPiC Collective does not require having all the answers; it is an invitation into a supportive, collaborative space where lived experience, care, and collective growth guide the work over time.

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* 1. Name

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* 2. Email

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* 3. Phone number

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* 4. Preferred mode of contact?

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* 5. Ethnicity/Race (check all that apply)

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* 6. Which Parent Collective(s) would you like to join? Choose all that apply.

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* 7. If you have a child, what school(s) does your student(s) attend? (if you don't have children, write N/A)

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* 8. Grade level(s) of your student(s)

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* 9. How do you Identify your role?

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* 10. How did you hear about EPiC?

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* 11. Which Parent Collective(s) would you like to join? Choose all that apply.

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* 12. What Makes it easier for you to participate in meetings or gatherings? (Check all that apply)

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* 13. When you think about your child's education and your family's wellbeing right now, what are the 1-2 things that feel most important or urgent to you?

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* 14. Thinking about your child's school experience, is there anything you wish you could change or improve? If so, what?

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* 15. Would you like to receive EPiC updates, resources, and event invitations?

Empowered Parents in Community (EPiC) is a non-profit, 501c3, that aims to cultivate parent leadership and improve the conditions to better support family engagement and students educational needs. Our mission is to dismantle systemic racial inequities in education.

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