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Equity Concern Report
If you want us to follow up with you please be sure to provide contact information. Please use this form to complete concerns you have noted or experienced.
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* Indicates required question
Your Name
Your answer
Your contact information
Your answer
Do you want us to follow up on your concern or are you just sharing so we can track the concern
*
Yes- please follow up with me about this concern
No- just making sure you are aware of the concern
Curriculum related concern
*
Yes
No
Region if applicable, where concern originated
*
Eastern
East Portland
West Portland
Salem
Roseburg
Southern Oregon
Central
Eugene
Whole School impact, not specific region
Incident or Situation of Concern (Include Picture/Image if desired)
*
Your answer
If appropriate, have you notified your regional admin of this concern?
Yes
No
Other:
Clear selection
Is there anything else that you are aware of that you or others have done or attempted to address this concern? Please note, this question in no way implies responsibility for solution or outcome.
Your answer
Desired Outcome
*
Your answer
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