DCIS PTSA Student Involvement Form
The mission of the DCIS PTSA is to engage and empower parents, teachers, students and staff in order to foster a sense of community, pride and involvement.

Thank you, DCIS student! Thank you for showing that you care about family involvement at DCIS!

First Name
Your answer
Last Name
Your answer
Street Address
Your answer
City, State, Zip
Your answer
Email
Your answer
Land Line Number
Your answer
Cell Phone
Your answer
OK to Text?
Your Language of Study at DCIS
Chinese
Lakota
Spanish
Japanese
French
Italian
English
Not Answered
Language
Your Grade
6th
7th
8th
9th
10th
11th
12th
Grade
Name of Your Advisory Teacher
Your answer
Number of Years at DCIS (1st year, for example):
1st Year
2nd Year
3rd Year
4th Year
5th Year
6th Year
7th Year
Year at DCIS
PTSA ACTIVITIES
Check the boxes of the areas in which you'd like to be involved:
LEADERSHIP INTEREST?
I am proficient in the following languages:
Your answer
I enjoy and/or am really good at:
Your answer
As a student, I could use support from the PTSA with:
Your answer
ADDITIONAL COMMENTS
Your answer
Submit
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