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Dismantling racism. Transforming communities.
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Inquiry Form
Name of School / Organization
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School / Organization Website
Name of Contact Person
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First
Last
Job Title
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How did you hear about CRJE?
Attended an Event
Attended a Training
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Through a friend, colleague or family member
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Other (How did you hear about CRJE?)
Type of School / Organization
Public School
Charter School
Independent School
Religious School
School District or Network
Parent Association
Nonprofit Organization
Professional Association
Government Agency
Business
Other
Grade Levels Served
Pre-K
K-5
6-8
9-12
Higher Ed
Other
Please check all that apply.
Other School / Org Type
Other Grade Levels
Racial Demographics of Students / Youth Served
Training Logistics
Which of our services are you interested in?
Baker Butler Program
Core Values and Visioning for Racial Justice
Executive Coaching
Racial Affinity Group Facilitation
Racial Equity Leadership Council Consultation Hours
Senior Leadership Team Advisory Training
Taking Action: Strategies and Scenarios
Talking About Impact: Unconscious Bias
Talking About Race (for School-based Educators and Leaders)
Talking About Race (for Youth-Serving Nonprofit Educators and Leaders)
Talking About Race (for Parents, Guardians, and Caregivers)
Custom
Please check all that apply.
Estimated Number of Participants
Role(s) of Participants
Classroom Teachers
School Administrators
School Staff
Central Administrators
Social Workers
Youth Workers
Parents
Teacher Trainees
Other
Other Participants
Racial Demographics of Participants
Proposed Month(s) / Date(s) of Requested Training(s)
(*Please note that we require at least 30 days to schedule any training sessions after contract is signed.)
Does your school/organization have a budget set aside for this work?
Yes
No
Don't Know
Does your school/organization have interest in engaging in long-term (6-12 months) racial equity work?
Yes
No
Don't Know
School History
Your answers to the following questions do not determine whether we will work with you; instead, they will help us to tailor our proposals and services to your unique needs.
Does your school engage in conversations about race and/or racism on a regular basis?
Yes
No
Don't Know
How comfortable do members of your community feel talking about race and racism?
Not at all comfortable
Somewhat comfortable
Very comfortable
Are the adults in your school/organization able to name issues of race and racism as they come up?
Yes
No
Don't Know
What prior work or trainings has your community engaged in over the past two years?
CRJE Talking About Race
CRJE Other Training
Other institution training
Internal anti-racism work
None of the above
Please check all that apply and elaborate where possible.
CRJE Other Training
Other institution training
Internal anti-racism work
Have any of the racialized incidents occurred in your community over the past two years?
Teachers and/or students using microaggressions
Creation of a “Black@” account
Complaints about discipline
Complaints about bias
Concerns from parents
Feedback about diversity and representation among students and/or staff
Discussions about racial incidents in our community
Discussions about racial incidents in our news
Other
Please check all that apply.
Other Incidents
Do you have any other questions or comments you'd like to share with us at this time?
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