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School Exclusion Support Form
Please fill out this form in order for us to best support your exclusion claim. Please note this exclusion support should not be seen as legal advice but as advocacy support.
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* Indicates required question
Email
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Your email
Who referred you to BLAM's school exclusion project?
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Your answer
Your Position/Relation to the Child
If you are referring in a professional capacity please note your job title and if you are a parent/guardian/family member please note your relationship to the child.
Your answer
Please provide your best contact number.
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Your answer
What is the child's name?
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Your answer
What is the child's age?
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Your answer
As we know, colourism can impact the way children are treated within education. In order to address any issues of colourism, how would you describe the child?
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Mixed Black ( one Black parent and a parent of another race)
Light skin Black ( lighter skin hue of Blackness)
Brown Skin Black ( all Medium Brown hues of Blackness
Dark skin Black ( All Dark hues of Blackness)
Other:
If you answered "other" or would like to put further comment regarding colourism, please explain here
Your answer
What school does the child attend?
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Your answer
What type of sanction has the young person received?
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Is it an exclusion that the child has received (fixed or permanent) has the child received or had a disciplinary meeting?
Your answer
How long is the exclusion for?
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Your answer
Please provide a short summary of what has happened and how you would like us to support you?
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Your answer
When was the child excluded?
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MM
/
DD
/
YYYY
Do you have an IRP meeting or Governing Board Meeting date?
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Yes
No
Required
If "Yes" to the above question, please confirm the date below
MM
/
DD
/
YYYY
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