Unified School District #305 does not discriminate on the basis of race, color, national origin, sex, age, or disability in admission to, or treatment or employment in, its programs and activities and provides equal access to the Boy Scouts and other designated youth groups. Any person having inquiries concerning Unified School District #305 compliance with the regulations implementing Title VI, ADA, Title IX, or Section 504 is directed to contact the Unified School District #305 Executive Director of Human Resources, P.O. Box 797, Salina, Kansas 67402, 785-309-4726.

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* 1. Email Address

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* 2. Name

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* 3. Cell or Home Phone Number

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* 4. Home Address (include city/zip code)

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* 5. Your Job Title

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* 6. Number of years you have lived in Salina.

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* 7. Do you currently have students attending USD 305?

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* 8. With what demographic groups do you identify? (e.g. ethnicity, socioeconomic, gender, etc.)

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* 9. Your reason for applying.

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* 10. Has inequity impacted your life, and if so, how?

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* 11. List your USD 305 and/or Salina community affiliations and activities.

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* 12. What skills, knowledge, expertise, etc. can you bring to the USD 305 Belonging Council?

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