ROUTE #1 Community Discussion

[Angela Lee]

INFORMATION FROM ROUTE FLAG:
Flagged Route Name:
Route Area:
FA:
System of oppression perpetuated:
Marginalized Group Affected:
Comments:
Suggested Name Change (If FA does not want to choose):
Feedback Period: (XX/XX/XXXX - XX/XX/XXXX)


Below are relevant measures for deciding whether the route name is oppressive and harmful.
*Please copy paste the entire form below when adding to the community survey.
*Input deviating from the survey form will not be considered
How to copy/paste: 
Click+drag with your mouse to highlight questions below.
To copy: Right click, then "copy" OR  CTRL+C
To paste: When adding to the topic discussion, Right Click, "Paste" OR CTRL+V.

COMMUNITY FEEDBACK/SURVEY
System of oppression perpetuated:
Marginalized Group Affected:
Comments:
Suggested Name Change (If FA does not want to choose):

Your Information
(required, as BIPOC/gender-marginalized voices must be elevated in anti-oppression discussion)

Full Name:
Gender Pronoun:
Do you identify as BIPOC?:
Are you part of the LGBTQIA2S+ community?:
What other marginalized groups do you identify as?
Are you a member of SLVCA?