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* 1. Name of applicant:

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* 2. Email of applicant:

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* 3. Email of applicant (please retype)

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* 4. Which elementary school does your child attend?

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* 5. Is your child involved in the Extended Day Program?

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* 6. Parent members must have a strong interest in and commitment to public education, student achievement and well-being, and be able to represent the views of a wide variety of parents. Please comment below as to how you fit this criteria.

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* 7. Parent members must have knowledge, skills, and/or experience in ONE or more of the following areas: public education; community engagement; child care; equity and inclusion strategies; and public policy and/or communications. Please comment below as to your knowledge in one or more of these areas.

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* 8. Parent members must be willing to serve for a two (2) year term. Please confirm that you are willing to do so.

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