No Place for Hate Registration Form

No Place For Hate Registration Form

School Name and Type

School Name

Please type the full/official name of the school or organization you are registering. For example: You would type "John Lewis Elementary School" instead of "Lewis Elementary", or "John Lewis ES". You must only enter one school per submission. This will be used for the NPFH Banner at the end of the year.

What school name would you like to go on your NPFH banner upon receiving designation? If the same as your full official school name, leave blank.

Please select the category that best fits

Which category describes your school?

Which school year are you registering for NPFH?

Are you new or returning to NPFH?

NewReturning

Did your school's name change this year? If so, please enter the full previous name below. Otherwise leave blank.

Geographical Information

Street Address

Please include JUST the street address, not city, state, or zip.

City

State

Zip Code

School District

Please type the full/official name of the district. For example: You would type "Cypress-Fairbanks Unified School District" instead of "Cypress Fairbanks", or "CFUSD".

Basic Information

What grades does your school serve?

If you chose "Other", please specify grade level(s) here

Phone number for school (main/front office)

School Website (URL)

School Facebook (URL)

School Twitter (URL)

Student Demographics Information

Total number of students

% of Students English Language Learners

% of Students Eligible for Free or Reduced Lunch (combined total)

% of Students with IEPs or in Special Education Program

% Asian/Asian American

% Black/African American/Caribbean American

% Hispanic/Latinx

% Multi-/Bi-Racial

% Native American/Indigenous

% Pacific Islander

% White

% Other race

Staff Demographics Information

Total number of staff

% Asian/Asian American

% Black/African American/Caribbean American

% Hispanic/Latinx

% Multi-/Bi-Racial

% Native American/Indigenous

% Pacific Islander

% White

% Other race

Staff Information - Please enter the contact information for your No Place for Hate Coordinator(s) and Principal

Coordinator 1 - First Name

Coordinator 1 - Last Name

Coordinator 1 - Title

Coordinator 1 - Email Address

Coordinator 1 - Phone

Coordinator 1 - Are you a new or returning NPFH coordinator for your school?

Have you identified a second No Place For Hate Coordinator?

Coordinator 2 - First Name

Coordinator 2 - Last Name

Coordinator 2 - Title

Coordinator 2 - Email Address

Coordinator 2 - Phone

Coordinator 2 - Are you a new or returning NPFH coordinator for your school?

Principal - First Name

Principal - Last Name

Principal - Email Address

Principal - Phone

By becoming involved with No Place for Hate, we understand that ADL retains the authority to approve our school's No Place for Hate application, review our activities and award the No Place for Hate designation at its sole discretion based on timely submission of required forms according to deadlines set by ADL. Any changes to staffing the No Place for Hate School Coordinator role shall be communicated to ADL promptly. Upon satisfactory completion of the No Place for Hate initiative, our school will receive a No Place for Hate banner to display on school premises for the school year immediately following the school year during which the designation was earned. It is further agreed that Anti-Defamation League, ADL, No Place for Hate and A World Of Difference Institute are trademarks of ADL. Our school and school district agree to only create and produce materials related to our participation in ADL programs with approval from ADL.

Our school agrees to the terms above.

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