Dedicated to The Dream: Working towards awareness and celebration

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THIS IS A SAMPLE SURVEY.

Do you wish to support your child’s healthy and positive racial identity development? Do you want to raise kids who recognize - and fight - racial bias and racism? Do you work to have a clear, intentional voice to help shape your child’s perceptions around race, ethnicity and culture? Would you like for your family to talk together about these difficult but important and nuanced topics?

Intrigued? The Evanston Public Library is piloting a program designed to invite curious families to listen, learn and grow through accessible, thoughtful, kid-friendly, challenging-yet-tender experiences and conversations around race and culture. If you have a child in 1st through 4th grade, we invite you to fill out our Family Interest Survey. Filling out this survey does not constitute registration in the program.

Thanks so much for your interest in this program!

Please fill out your name (adult), and your role in the family.

Please enter your email address and/or other preferred contact information.

How would you describe the racial and ethnic identities of yourself and family members who would be part of the program's first cohort?

This program is open to families who have a child in grades 1-4, but children in your family who are not in this target age group are welcome to participate. Please mark ALL the ages of children who will likely be present during the program.

ages 0-3

ages 3- 6

Grades 1 or 2

Grades 3 or 4

Grades 5-8

High school

This is a family program and requires adult participation. How many members of your family do you expect will participate?

How frequently does your family talk about race?

A couple of times a year

Once or twice a month

Once or twice a week

Every day

Clear selection

What best describes your family's comfort when talking about race?

very uncomfortable

very comfortable

Clear selection

How does the topic of race come up in your family?

What interests you about being part of this program?

What do you hope to gain from this program?

I'd be interested in (check all that apply):

materials so my family and I can go through the program on our own

a virtual (Zoom) program

in-person programs

Other:

Submit

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