PARENT PARTNERSHIP BOARD (PPB)

Board Member Interest Survey & Application

Thank you for your interest in serving on the OCCY Parent Partnership Board. Please complete the Interest Survey & Application and a member of the OCCY staff will be in contact with you to set up an interview.

By engaging the voices of parents, the OCCY Parent Partnership Board works together to strengthen families, communities and child-serving systems. For more information, contact Isabel Rodriguez, OCCY Community Planner at isabel.rodriguez@occy.ok.gov

Question Title

* 1. Applicant Contact Information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 2. How many children do you have and what are the ages?

Page1 / 5

20% of survey complete.