Equity Diversity & Inclusion Advisory Team Question Title * 1. What is your email address? OK Question Title * 2. What is your First and Last Name? OK Question Title * 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) OK Question Title * 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 OK Question Title * 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) OK Question Title * 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 OK Question Title * 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 OK DONE