Parent / Guardian interest survey regarding increasing diversity at Shabazz
If you are a parent / guardian of a Shabazz student and either you or your child is a person of color, please fill out this short survey to let us know you are willing to share your experiences at Shabazz with our team. This survey will tell us who you are and your preferred method of contact. We will then contact you to set up a time to talk.

We are committed to listening openly, managing our own internal reactions to prevent burdening you, and maintaining your confidentiality as we work to increase the racial/ethnic diversity at Shabazz.

-The Increasing Diversity at Shabazz Task Team

Email address *
Your Name *
Your answer
What is your student's name? *
Your answer
Is your child currently enrolled at Shabazz? *
How you would like to be addressed when we speak with you. (first name, by a title, Mrs/Mr, Ms, etc) *
Your answer
What is the best way to reach you to schedule a conversation? *
Your phone number: *
Your answer
We would like to use a conversation format to listen to your feedback about your experiences with Shabazz. What are your preferences? (Check all that apply) *
Which member of the task team would you like to have this conversation with? *
Never submit passwords through Google Forms.
This form was created inside of MMSD. Report Abuse - Terms of Service