BIPOC Equity SPARKS Interest Form

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Interest in finding out more about BIPOC Member Retreats & Monthly BIPOC ZOOM Gatherings

Email *

Name *

Local Association/District *

Race/Ethnicity *

American Indian/First Nations

Black

Hispanic

Asian

Pacific Islander

Multi-Racial

Other

Prefer Not to Answer

Please check off any and all identity markers that apply to you. *

Differently abled

LGBTQIA+

PK-12 Licensed Educator

Educational Support Professional

Community College (Faculty or Support Professional)

Health Professional (School Nurse, Speech Language Pathologist, etc.)

Specialist (SPED, Music, Art, PE, Librarian, ESOL, Reading, Career Technical Educator, etc.)

Teacher on Special Assignment

Aspiring Educator (Teacher Education Candidate)

Early Career Educator (0-5 years experience)

Female

Male

Non Binary

Required

Interest in BIPOC Equity SPARKS Retreats *

Want to find out more

Already know about them and am interested in participating

Already attended but want to promote the retreats with other BIPOC members

Not interested

Interest in monthly BIPOC Equity SPARKS Living Room ZOOM Gatherings *

Want to find out more

Already know about them and am interested in participating

Already attended but want to promote these gatherings with other BIPOC members

Not interested

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