COMMUNITY ADVISORY COMMITTEE APPLICATION FORM
The objectives of this committee center on delivering parent trainings, participating in community outreach, advisory duties to the Board of Education and district administration, public advocacy for special education, and membership development drives.
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Name
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Your answer
Phone
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Your answer
Email
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Your answer
Please check all that apply to you. I am …
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Parent of a child with a disability
Parent of other students(s)
Student and/or adult with disabilities
General education teacher
Special education teacher
Other school personnel
Staff or local agency serving student(s) with disabilities
Other:
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What do you think are the 3 top issues facing special education children and their parents in this district?
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Your answer
What are your top 3 reasons for applying to serve on the committee?
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To develop my leadership skills
To help other parents in my community
To become expert on the IEP process
To learn about Special Education vision or process
To be informed on what’s happening in the District with Special Education
To learn about the legislative process and the state of special education in California
Other:
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If appointed to this committee by the Board of Education, which projects would be most interesting to you? Please choose top 3 options according to your preference. Training can be made available if you are not currently knowledgeable but would like to learn.
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Hosting lecture series
Coordinating and/or hosting the student Art Show
Participating in Annual Legislative Day and/or presenting Legislative updates
Becoming an IEP expert in support of other parents
Community Outreach and School Site Visits
Monthly Communications and Event Marketing
Membership Drives
Leadership skill development, including advisory duties to the Board of Education and district administration
Required
List a reference/references that have knowledge of your character, experience, and abilities. Do not include names of relatives. Please provide name, phone and email for each reference.
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Your answer
Certificate of Applicant. All answers and statements in this document are true and complete to the best of my knowledge and belief. Please sign this document by typing in your name below.
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Your answer
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