DVS Parent Advisory Committee (PAC) Member Interest Form

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Please fill out this form if you are interested in being a representative for the DVS Parent Advisory Committee for the 24-25 school year.

The Parent Advisory Committee is an opportunity for parents, students, & staff to work collaboratively to:

review the school program,
review data and identify needs, &
make recommendations regarding the School Safety Plan & the Local Control and Accountability Plan (LCAP).

Email *

Your Name (First and Last) *

Please indicate your role in the DVS community: *

Parent/Guardian

Student

Staff

If you are a parent or guardian, please include the name(s) of your student(s).

What grade levels are you associated with this academic year? Check all that apply. *

9th

10th

11th

12th

Required

Why you would like to serve on the DVS Parent Advisory Committee? *

(optional) It is recommended that our PAC parent population is representative of the overall demographics of the school. Please check any demographic information that applies to you.

Parent/Guardian of a student who is Hispanic or Latino

Parent/Guardian of a student who is black or African American

Parent/Guardian of a student designated as an English Learner (EL)

Parent/Guardian of a student who has an Individualized Education Plan (IEP)

Parent/Guardian of a student who has historically received free or reduced school meals

Send me a copy of my responses.

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