REIA Rubric Response Form
Please use this form to record your personal REIA rubric responses and total score. Each applicant/co-applicant on the project should submit their own form/response.  

Full rubric with descriptors can be viewed at https://bit.ly/2JsoemQ
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Email *
To which grant are you applying? *
Name (first/given & last/family) *
Title of project *
Guidelines in using the REIA:  Stakeholder use of the tool is a minimum of 2-5 people. The group using the tool must be balanced in order to engage multiple perspectives by race, gender/non-binary, years of experience in education. Stakeholders must complete this rubric as individuals in measuring the racial equity impact first without collaboration. Once completed as individuals, the group reconvenes and each participant presents their REIA rubric score and their explanation to each question’s score.  Score the (Program, Policy, Protocol, Process, Curriculum etc.) as a group and majority vote on scoring. *
Developing - 1
Proficient - 2
Exceptional - 3
Identifying stakeholders
Engaging stakeholders
Identifying and documenting racial inequities
Examining the causes
Clarifying the purpose
Considering adverse impacts
Advancing equitable impacts
Examining alternatives or improvements
Ensuring visability and sustainability
Identifying success indicators
Individual Rubric Score *
A copy of your responses will be emailed to the address you provided.
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