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BLM @ School Commitment Form
Please fill out this form to let us know your commitment to Black Lives Matter at School 20-21, "A Year of Purpose". Learn more about the National Black Lives Matter at School movement at
www.blacklivesmatteratschool.com
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BLM At School 20-21
Your Name
*
Your answer
Non-BPS Email
*
Your answer
Phone Number
*
Your answer
What is your role?
Choose
Teacher
Paraprofessional
ABA
Substitute
COSE
Related Service Provider (OT, SLP, PT etc.)
Social Worker, Counselor, School Psychologist, or other Behavioral Health Specialist
Nurse
Other
Which school community do you belong to?
Your answer
I am willing to commit to the following:
*
Planning Team Member (small committee with a commitment to planning for all of the BTU)
Point Person for My School Site (responsible for bringing the week of action to your school community, but can delegate tasks)
Participant in BLM @ School (varying levels and choices of different ways to participate)
Other:
Required
How would you like to participate in the week of action? (you may choose more than one)
Teach a Lesson
Participate in Curriculum Night to share Lessons with other BTU members
Run a restorative justice circle on one of the demands for students and/or staff
Testify at School Committee
Support Students to Testify at School Committee
Celebrate Black Educators Activity with Students and/or Staff
Participate in Upcoming Racial Justice Town Halls
Other:
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