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School & Teacher Information

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Teacher/Staff Member Name: *

Report Card

Attitude toward the Black Student(s):
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Behavior toward the Black Student(s):
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Care for the Black Student(s):
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Discipline of the Black Student(s):
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Evaluation of the Black Student(s):
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False Evidence Appearing Real (F.E.A.R) of the Black Student(s):
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False Evidence Appearing Real (F.E.A.R) regarding Stereotypes/Cultural Competency:
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Grading/Guidance of the Black Student(s):
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Holistic approach to the Black Student(s):
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