Circle of Hope Interest Form
EPiC is the non-profit parent empowerment and advocacy organization that supports the work of the Circle of Hope initiatives throughout the Durham community, along with other programs. Our support is building capacity for Black parents and families, offering safe space for connection and sharing challenges, and working towards solutions to be able to show up to support students with our whole, healthy and healed selves.

Circle of Hope will host a 4-week session for Black parents and/or caregivers from Tuesday, May 24th until Tuesday, June 14th, 2022.

Sessions will be facilitated by, Tamara Vanie

Location: Durham Children’s Initiative (DCI) 2101 Angier Ave. (entrance from the parking lot, enter building, then turn right)

Please complete the form below to participate in the session.

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Email *
First and Last Name *
Phone Number
What is your ethnicity?
Clear selection
Child's grade. Please check all that apply
Pre-K (including childcare, prenatal, at home, etc)
1st
2nd
3rd
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Column 13
Child #1
Child #2
Child #3
Clear selection
Child 1 - What school does your child attend? *
Child 2 - What school does your child attend?
Child 3 - What school does your child attend?
If your response was 'Other Charter School', 'Other Independent School', or 'Other' please provide the school name.
What is the best way to reach you? Please check all that apply. *
Required
How did you learn about the Circle's of Hope Program? Please check all that apply *
If your response was 'Other', please explain.
Reason for interest in Circle of Hope *
Is there anything else that you would like us to know?
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