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Advisory Committee Application
Thank you for your interest in JSPAC. Please complete the form and submit a resume to jspac.caperkins@gmail.com. If you are applying for the Private/Public or Supporting member, your application and resume will be provided to the JSPAC Advisory Committee for consideration. NOTE: Please go to http://www.jspac.org/about/membership verify if there are any membership openings in K-Adult or Community College, Private/Public. Public/Private groups can apply without verifying a specific geographic region. Face-to-face meetings and Conference are hosted in Sacramento. If applying for membership and there are no openings in your specific region, specifically K-Adult, Community College, Private/Public, we encourage you to submit an application for a *Supporting Member position until there is a vacancy in your region for K-12 or Community College. Supporting Member 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.


*Advisory Members terms of appointment is usually three year terms.
*Supporting Member positions are volunteers, therefore terms of service is not required.
Date *
MM
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DD
/
YYYY
First and Last Name *
Check Term Appointment *
Required
Please select member type *
Please select (one) the organization you represent. *
Ethnicity *
Discipline - Please select one *
Gender *
Employer *
Employer Address, City, State, Zip Code *
Phone Number *
Email Address *
What expertise or experience do you bring to JSPAC in relation to working with special populations? *
How will you communicate the activities of the JSPAC to your colleagues? *
POST COVID-19, JSPAC meetings will be virtually (Fall- September, November, December, Spring Feb, April) . JSPAC may meet in person (June 2021). JSPAC host a statewide equity conference (December). JSPAC provides funding for travel reimbursements for voting members. 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 (may not be applicable to Private/Public Sector)
Supervisor's Organization, Address and Email (may not be applicable to Private/Public Sector)
Thank you for your interest. Please submit your resume or if you have additional questions to jspac.caperkins.gmail.com.
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