Family-Student Advisory Council Interest Form

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We look forward to working together to create an even better learning environment for our students.

Applicant Name *

Applicant e-mail address *

I am a . . . *

Parent/Guardian

Student

Student(s) grade in Charlottesville City Schools for the 2025 - 2026 school year . . . *

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Required

A brief statement of interest: Please let us know why you're interested in serving on the Family-Student Advisory Council. What about the UVA Innovation Hub excites you? What are you ideas for its future? *

(FOR STUDENT APPLICANTS ONLY) Please ask your parent or guardian to sign below granting permission for you to volunteer for the Family-Student Advisory Committee. This will be confirmed via e-mail.

(FOR STUDENT APPLICANTS ONLY) Please ask your parent or guardian to supply their e-mail address below.

(FOR STUDENT APPLICANTS ONLY) Please ask your parent or guardian to supply their phone number in case of an emergency.

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This form was created inside of Charlottesville City Schools.