New Hanover County Schools Diversity, Equity & Inclusion Committee Application
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Name: *
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Phone: *
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Address: *
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Optional: I identify my gender as:
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Optional: I identify as a person with a disability:
Optional: I identify my ethnicity/nationality/race as:
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Optional: Please indicate your age range below:
Optional: Please state or list any reasonable accommodations you may need as a member of the committee:
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Please explain your interest in serving on this committee. *
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Please share who you are representing and the organized agencies for which you are affiliated. *
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Please share your experience serving on boards, committees, or other organized initiatives. *
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Describe any experience or training related to cultural competency, equity or diversity initiatives, educational instruction or policy, or other related fields or your interest in this area *
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Are you employed by or related to an employee of NHCS? If so, please list, including if you have a former affiliation (former student, parent of student?) *
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Please share your expectations of the committee and expected outcomes. *
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Please list skills and traits/characteristics and qualities you plan to bring to the table to help facilitate committee goals. *
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Please indicate how long would you be willing to serve? ( Please choose one) *
Please share any additional information that you would like for us to consider as a part of this process.
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Please email your resume to Dr. LaChawn Smith at lachawn.smith@nhcs.net.
Please share the name of someone who could serve as a reference for you. *
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Phone number or email of reference: *
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