DSBN Equity Advisory Committee

Community Organization Application for District School Board of Niagara Equity, Inclusion and Anti-Racism Community Advisory Committee

We thank you for your interest in the DSBN Equity, Inclusion and Anti-Racism Community Advisory Committee. By completing this application, you are indicating that you can commit to quarterly meetings on a schedule determined by the Committee.

Should you require an accommodation for this application process, please email equity@dsbn.org.

Organization Name:

Name of Organization Representative:

Address:

City:

Postal Code:

Phone:

Email address:

Role within the Organization:

Note: Successful applicants will be asked to provide a letter from the organization's executive body designating the applicant as its representative, as well as naming an alternate who will attend in your absence.

Please provide a brief summary of your organization including vision and missions. *

Which areas of equity does your organization work on: *

Please indicate the group(s) with which you identify (please check all that apply):

2SLGBTQ+

Black

Ethno-cultural group

First Nations

Inuit

Métis

Person with a disability

I do not see my group identified

If you identified as belonging to an ethno-cultural group, can you please specify? (East-Asian, Latinx, South-Asian, etc.)

If indicated that you do not see your group identified, can you please elaborate?

Why is your organization interested in serving on this Committee? *

Share some of your organization's experiences in advancing equity within the community. *

Is there anything else about yourself that you would like us to know? *

If you are not selected, as a representative of your organization, to be a member of the DSBN Equity, Inclusion and Anti-Racism Community Advisory Committee, would you like your information to remain on file for the next two years for future opportunities to work with the Committee?

Yes, please contact me for opportunities.

No, thank you.

Thank you for completing this application. We appreciate your engagement with the District School Board of Niagara. As a potential future member, we ask that you review the following commitments as part of your application.

As a member of the Committee, I am committed to:

Attending meetings with an open heart and mind and in the spirit of working together for the good of the community.
Fostering an inclusive environment that values and protects the dignity of all.
Engaging in open dialogue that promotes understanding and cooperation as the basis of all interactions

Personal information on this form is collected, used and disclosed in accordance with the Education Act, R.S.O. 1990, c.E.2, as amended and the Municipal Freedom of Information and Protection of Privacy Act. R.S.O 1990, c.M. 56, as amended and will be used to determine suitability for appointment, for the administration of the committee, and any similar or related purpose(s). Questions about this collection, use and disclosure should be directed to the Freedom of Information Coordinator, District School of Niagara, 191 Carleton Street, St. Catharines, ON L2R 7P4 905-641-1550.