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Request for Assistance

Please note: The Equity Center is funded to provide training and technical assistance in Alaska, Hawaii, Idaho, Oregon, Washington, American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, and the Republic of Palau. We are unable to accommodate requests for assistance outside of this service region. To find the Equity Center that serves your region, visit www.edgateway.net/pub/docs/eacn/home.html

I am interested in receiving assistance from the Equity Center. Please contact me at the following address:

*required field

* Name:
Address:
City, State, ZIP:
School/District:
Phone:
* E-mail:

 

I am interested in the following type(s) of assistance within the areas as checked below

Assistance area (check all that apply)

National Origin

Race

Gender Equity

Assistance types (check all that apply)

Professional development training

Technical assistance

Compliance assistance

Resources and information on equity-related topics

Other :

Assistance objectives (check all that apply)

Gain skills/knowledge to improve student achievement

Eliminating biased/discriminatory actions of staff, students, parents/community

Eliminating biased materials/instruction/testing

Gaining skills/knowledge to develop nondiscriminatory programs

Increase student/parent/community support

Develop skills/knowledge to apply No Child Left Behind Act

Instructional strategies for English language learners

Develop desegregation plans/policies

Other :

Once we have received your request for assistance, an Equity Center staff member will contact you to discuss next steps. We look forward to working with you.

You may also print this form and mail or fax to:

Joyce Harris, Director
Equity Center
Northwest Regional Education Laboratory
101 S.W. Main Street, Suite 500
Portland, Oregon 97204
Phone: (503) 275-9603 Fax: (503) 275-0452