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Advisory Committee Application
Thank you for your interest in JSPAC. Please complete form and submit a resume to jspac.caperkins@gmail.com. This form along with your resume will be provided to the JSPAC Advisory Committee for consideration. NOTE: Please click on the links below to verify if there are any membership openings in K-12 or Community College, Public/Private Sector or you may email your question to the email address mentioned above. If applying for membership and there are no openings, we encourage you to submit an application for an *Supporting Members position until there is a vacancy in your region for K-12 or Community College, or Public/Private Sector. Supporting Members positions do not receive travel reimbursements to attend the three quarterly meetings and conference nor is it mandated for this position to attend the meetings or conference.

K-12 map
http://www.jspac.org/attachments/article/61/CCSESA%20Regional%20Map.pdf

Community College map
http://www.jspac.org/attachments/article/61/CC%20Regional%20Map.pdf

*Advisory Members are asked to serve three year terms.
*Supporting Member positions are volunteers, therefore terms of service is not required.

Date *
MM
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DD
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YYYY
First and Last Name *
Your answer
Please select member type *
Required
Please select (one) the organization you represent. *
Ethnicity *
Discipline - Please select one *
Gender *
Employer *
Your answer
Employer Address, City, State, Zip Code *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
What expertise or experience do you bring to JSPAC in relation to working with special populations? *
Your answer
How will you communicate the activities of the JSPAC to your colleagues? *
Your answer
The JSPAC meets in person three times per year (April, September, December) and also sponsors a statewide conference (December). The subcommittee meetings vary but usually are every other month for an hour via conference call. JSPAC provides funding for travel reimbursements for advisory members. *Supporting Member positions will not be reimbursed for travel. NOTE: If applying for Supporting Member positions please be sure to check if you have funding to attend the meetings and conference.
Once you have been appointed to the committee as a member or "Supporting Member" position, an email will be sent to your supervisor describing the committee and your position.
Supervisor Name, Title *
Your answer
Supervisor's Organization, Address and Email *
Your answer
Thank you for your interest. Please submit your resume or if you have additional questions to jspac.caperkins.gmail.com.
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