Applicant Information

The applicant must currently be employed by a school district, charter management organization, educational organization, college/university, regional office of education, or equivalent.

Before You Begin:
This application must be completed in one session (your progress cannot be saved). We recommend downloading a copy of the application questions first and preparing your answers in advance. When you are ready, please copy and paste your responses and submit them in one go.

If you have any questions, please email us at fellows@liberatedsel.com.

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* 1. First Name

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* 2. Last Name

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* 3. Name Pronunciation

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* 4. Email address:

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* 5. My gender is:

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* 6. My pronouns are:

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* 7. My racial identity is:

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* 8. My age:

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* 9. Mailing Address

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* 10. Contact number:

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17% of survey complete.

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