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* 1. What is your name:

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* 2. What is your home address:

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* 3. What is your phone number?

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* 4. What is your email address?

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* 5. Which of the following describes your role in the Sandwich School Community 

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* 6. Why are you interested in serving on the Diversity, Equity & Inclusion Advisory Committee (DEIAC)?

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* 7. You are invited to indicate if you or members of your household identify with any underrepresented minority group(s). Please feel free to express all the groups with which you identify.

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* 8. Please summarize any experience you have in Anti-Bias, Anti-Racist (ABAR) education.

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* 9. Please share any additional feedback that you would like us to know or consider as we reopen schools.

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* 10. Please describe any personal experiences you have had with bias and/or racism in your life and how they have shaped your perspective.

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* 11. What changes would you like to see in the Sandwich School District with regard to diversity, equity, and inclusion?

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* 12. Do you have any personal or professional skills, knowledge, or experiences you believe would be particularly helpful to the DEIAC? Note: No previous experience or expertise is required.

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* 13. Is there anything else you wish to share?

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* 14. To Assist with scheduling  DEIAC meetings, when would you typically be available to meet? Check all that apply.

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