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Intake form
Help us serve you better
Name
*
Email address
*
What is your relationship to education?
Please select at least one option.
Student
Parent/Guardian
Educator
Community Member
Organization Representative
What barriers to education have you observed?
Please select at least one option.
Financial Constraints
Lack of Resources
Transportation Issues
Inadequate Facilities
Social Inequality
What type of support are you seeking?
Please select at least one option.
Tutoring
Mentoring
Advocacy
Funding Assistance
Awareness Campaigns
Which areas do you believe require the most attention?
Please select at least one option.
Access to Quality Education
Teacher Training
Curriculum Development
Infrastructure Improvement
Funding Allocation
How did you hear about EQUID?
Select
Social Media
Word of Mouth
Community Event
School Referral
Online Search
What is your location?
Additional questions or comments
Submit
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