Sample Forms - Medication Administration.pdf - WA Charter Schools Association

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Organization Name *

Region Served *

Is your organization owned/led by people who are women-identifying? *

No
Yes

Is your organization owned/led by a member of the Global Majority? (i.e., 51% of the business is owned or controlled by a racial or ethnic minority) *

No
Yes

Briefly describe your services *

Please provide your equity statement/commitment to anti-racism, diversity, inclusion, and equity *

Has your organization worked with charter public schools in Washington State? *

No
Yes

If yes, which charter public schools in Washington State have you worked with?

Has your organization worked with charter public schools nationally? *

No
Yes

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Can be translated to other languages
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If applicable, are your products/materials available in other languages?

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Where did you hear about our vendor directory? *

Washington State Charter Schools Association (WA Charters) staff
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Sample Forms – Medication Administration.pdf

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