* 1. Contact information

* 2. What is your occupation?

* 3. Please check all categories that apply to you:

* 4. Overall, what are your ideas and thoughts regarding health and sexuality education within public schools?

* 5. Why are you interested in serving on this committee?

* 6. What specific issues do you believe this committee should address?

* 7. What background, past experiences, knowledge, expertise etc do you have that may assist this committee?

* 8. Are you willing to attend 4-6 evening meetings per year during a two-year period?

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