Request edit access
Public Input Form - Addressing the School Board
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Address *
Phone Number *
Subject to be presented - No names of students or employees! *
Comment - No names of students or employees! *
All public input forms must be received by the Clerk of the Board no later than 12 noon the day of the board meeting either electronically or by mail.

​PLEASE NOTE: Inasmuch as the school board agenda is usually quite full:
  • Those giving public input are asked to limit their presentations to three minutes as directed by the Board Chairperson. The clerk will signify the three-minute mark during the presentation.
  • Any group of persons wishing to speak to the board about the same issue or topic should select one spokesperson to represent them.
  • Those giving public input will be respectful; no offensive or inappropriate comments or language.
  • The Board reserves the right to limit the total time provided for discussion of a situation or topic.
  • Those giving public input must be legal residents of the Mountain Home School District, or be a firm eligible to bid on materials or services solicited by the board.
  • Those giving public input must refrain from using student and employee names; it is a violation of FERPA Laws and privacy issues.
1. Have you tried to come to a resolution with the staff member closest to the problem? *
If so, when?
MM
/
DD
/
YYYY
2. Have you discussed and tried to resolve the issue or problem with the principal or immediate supervisor? *
If so, when?
MM
/
DD
/
YYYY
3. Have you tried to resolve the issue or problem with the Director of Elementary Programs or the Director of Secondary Programs? *
If so, when?
MM
/
DD
/
YYYY
4. Have you met with the Superintendent to try to resolve this issue? *
If so, when?
MM
/
DD
/
YYYY
All public input forms must be received by the Clerk of the Board no later than 12 noon the day of the board meeting either electronically or by mail.
Signature - Type full name *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Mountain Home School District.

Does this form look suspicious? Report