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SHAC Application
CCISD Seeks Community Leaders for School Health Advisory Council (SHAC).
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* Indicates required question
Name
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Student's Grade
*
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
N/A
Required
Are you an employee of CCISD?
*
Yes
No
Are you a parent/guardian of a currently enrolled CCISD student?
*
Yes
No
Why do you want to serve on the SHAC Committee?
*
Your answer
Do you have expertise in health, nutrition, fitness, counseling, or law enforcement?
*
Your answer
I can commit to attending a minimum of four meetings per year.
*
Yes
No
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