Commack High School Community Ambassador Program 2016

Commack High School Community Ambassador Registration Form

The Commack School District welcomes you to register for a Community Ambassador visit at Commack High School by completing the form below.

Please note that participation in the events below cannot be guaranteed as a limited number of seats are available. We will do our best to allow each community member the opportunity to attend one of the three sessions below. We apologize in advance if we cannot provide an opportunity in any session due to an overwhelming response.

Question Title

* 1. Please provide the following contact information so we can communicate with you about the event.

Name *

Address

City/Town

State/Province

ZIP/Postal Code

Email Address *

Phone Number *

Question Title

* 2. Please let us know your current status as a community member.

Question Title

* 3. If you have school-aged children, what grade(s) are your child(ren) currently enrolled? Check all that apply.

K-2

3-5

6-8

9-12

Question Title

* 4. Please let us know if you are currently a member of any community groups such as PTA, SEPTA, educator from another district, realtor, etc....

Question Title

* 5. Please rank the CHS program sessions below in order you would like to attend (first, second, third).

The STEM Program (March 3, 2016)

College and Career-Ready Programs (March 15, 2016)

The Arts and Humanities (April 6, 2016)