Diversity, Equity and Inclusivity Committee Membership Application for Winona Area Public Schools

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The information requested below is for the purpose of evaluating your application to serve on the Winona Area Public Schools Diversity, Equity and Inclusivity Committee. The information will be available to the school board members serving on the committee processing your application and assembling the DEI committee. Some of the information may also constitute public data under the Minnesota Government Data Practices.

Minnesota Statute 13.04 Subd. 2 requires that you be informed of the purpose and intended use of the requested data within Winona Area Public Schools, Independent School District 861, during the committee application process. Once you have been certified as eligible for appointment to a committee vacancy or once you have been identified as a finalist for appointment to committee vacancy, the following information may be classified as public information: name, rank on the eligible list, job history (if collected), education and training (if collected), per Minnesota Statute 13.43. The information you provide will be used to identify you as an applicant, enable us to contact you when additional information is required, send you notices, and assess your qualifications for appointment to a committee vacancy. You may not be considered as an applicant if you fail to provide the information requested on this application.

By submitting the completed application that follows, applicants:

*Affirm that the information included in this application is accurate and true
*Authorize, as may be necessary to determine appointment to the committee, investigation of all information contained in this application for appointment
*Consent to the release, disclosure, and dissemination of the public data submitted by the school district.

Name: *

Address (residential): *

Phone: *

Email Address: *

Which of the following describes your relationship to Winona Area Public Schools? Check all that apply: *

Parent/guardian of enrolled student(s)

Parent/guardian of graduated student(s)

Community member

Student at WSHS

Student at Winona Area Learning Center

Employee of Winona Area Public Schools

Other:

Required

Briefly explain your thoughts about diversity, equity and inclusion in public education. *

Briefly explain your lived experiences and how they can help the work of the WAPS Diversity, Equity and Inclusivity Committee. *

Why do you want to serve on the WAPS Diversity, Equity and Inclusivity Committee? *

Optional: How do you self-identify? (Please feel free to include multiple ways which you identify. For example: African American, Latinx/Hispanic, Caucasian, LGBTQ+, etc.)

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