Durham Black Educators' Network Membership Intake Form 2020-2021
MEMBERSHIP INTAKE FORM:
Recognizing the increasing diversity of the Durham region, Durham Black Educators' Network is a proactive organization with a mandate of optimizing the educational experiences of Black students, families, and educators of the Black Diaspora within Durham Region.
* Required
Email address
*
Your email
MEMBERSHIP TYPE:
*
New Membership
Renewal Membership
Mailing List Only
RELATIONSHIP TO DBEN:
*
Parent
DDSB Employee
Student
Community Organization
Community Member
PREFERRED PRONOUN:
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FIRST NAME:
*
Your answer
LAST NAME:
*
Your answer
PHONE NUMBER:
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