Equity Diversity & Inclusion Advisory Team

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* 1. What is your email address?

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* 2. What is your First and Last Name?

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* 3. What school are you affiliated with?

Cape Horn-Skye/Canyon Creek Middle

Columbia River Gorge Elementary

Gause Elementary

Hathaway Elementary

Jemtegaard Middle

Washougal High

Washougal Learning Academy

Other (please specify)

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* 4. What is your role in our district? Check all that apply.

Parent/guardian

Student

Certified staff member

Classified staff member

Community member

Building administrator

Board member

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* 5. How do you identify? This question helps us ensure that our historically underserved communities are well represented on our team.

Black/ African American

Brown/Hispanic/Latin American

Asian

Native American

Pacific Islander

White

Two or more races

Current or former English Language Learner (or parent of)

Current or former Student with special needs (or parent of)

LGBTQ+ student (or parent of)

Low income student (or parent of)

Other (please specify)

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* 6. Have you ever been a part of an Equity committee before? Note: You do not have to have prior experience on an Equity committee to be selected

Yes

No

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* 7. I will submit the required essay for my application via e-mail to julie.ferguson@washougalsd.org by the application deadline.
I want to be a part of the Equity team because…. and here are the skills or insight I can contribute to the committee... (Please include your name, email address and phone number at the top of the response)

Yes

No