Tools for Tolerance®: School Boards Request and Information Form

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Tools for Tolerance®: School Boards
Request and Information Form

Upon return of this form, FSWC will review your Tools for Tolerance®: Special Projects opportunities. The information provided will help orient our facilitation staff to your specific needs and concerns to make your program as meaningful and practical as possible, if selected.

Contact Person:		Title:
Tel #:		Email:
Name of Oranization:
Address:


City	Province	Postal Code

Web Site Address:

Name of School Board:

Date(s) Program Requested: (mm/dd/yy)
Total # Participants per Program:
Location of Program:

I have read and understand the terms and conditions:

Teachers(total number)
Indicate the number and various positions below

= High School

Administrators(total number)
Indicate the number and various positions below

=
=
=

Other(total number)
Indicate the number and various positions below

=
=
=

Total Number of Participants
(= Teacher + Admin + Other)

Organization Demographics:

Please describe any unique characteristics of the participants that would help us better understand and serve your group.

Campus/Community Climate:

Please identify the issues within the school community that contribute to a lack of tolerance (eg. discrimination, staff reluctance to address race relations, antisemitism, homophobia, etc.)

How many and what sort of acts of discrimination or intolerance have been reported in the community you serve? How have they impacted your school board?

What kind of support is available to the victims of acts of discrimination or intolerance in your board?

In what way does your school presently promote diversity and address discrimination through education, prevention policies, and or opportunities for dialogue?

Previous Tolerance Education:

Describe any on-going or previous professional development training for the school board with a tolerance/diversity focus and indicate the provider(s).

How were these materials/teaching strategies incorporated into your curriculum or school policies?

Long Term Goals:

What is your school board’s long term plans in terms of accommodating and managing diversity?

Do you have a tolerance / diversity plan? Please explain.

Program Objectives & Expectations:

What do you expect to gain from your participation in the Tools for Tolerance® program? Please identify your objectives.

Are there any significant issues that the participants may wish to address in a facilitated discussion?

Follow Up:

Identify the person(s) at the highest level in support of this initiative.

What efforts will be made by your school board administrators to ensure that staff members receive support to implement what you have gained from Tools for Tolerance®?

How often do you meet together as a group?

What follow-up initiatives are currently planned?