Poway Unified Districtwide Safety Committee Interest Form
Thank you for your interest in the Poway Unified Safety Committee. The committee will assist in the development of a Districtwide Safety Plan, focusing on preparedness, prevention, response, and recovery. Parents, staff, students, and community members are encouraged to apply. Please take a few minutes to answer the following questions. All responses must be submitted by June 30. Selected committee members will be notified in August, and the first meeting will be held in September. Please see the application below for tentative meeting dates.
Last Name *
Your answer
First Name *
Your answer
Address: *
Your answer
City: *
Your answer
ZIP Code: *
Your answer
Phone Number *
Your answer
How would you rate your expertise in the following areas: *
Limited or no experience yet, but eager to participate
Some experience
Expert in this area
Experience with safety and planning
Experience working on teams to produce safety plans
Previous planning committees in Poway
Please share why your experience and skills would be a good fit for this group?
Your answer
Please share with us why you are interested in participating in the Safety Committee?
Your answer
Check all the categories that apply: *
Required
Tentative Meeting Dates: Are you available to meet on the following dates? *
Yes
No
Tuesday, September 11 from 4:00-6:00pm
Tuesday, October 9 from 4:00-6:00 pm
Tuesday, November 13 from 4:00-6:00 pm
Tuesday, December 11 from 4:00-6:00 pm
Tuesday, January 22 from 4:00-6:00 pm
Please complete the following three questions if you have children attending the Poway Unified School District.
Do you have any school-age children attending a Poway Unified School District School?
If so, what grade(s)? Check all that apply.
If so, what school/schools?
Your answer
Please complete the following two questions if you are employed by the Poway Unified School District.
Are you employed by Poway Unified School District School?
If so, which school or department?
Your answer
Please complete the following two questions if you are a business or community member without children in the school district.
Are you a business or community member?
Briefly share a little about yourself and your interest(s) for participating in the safety committee.
Your answer
Please complete the following three questions if you are a high school student.
Are you a high school student in the Poway Unified School District School?
What high school do you attend?
What grade will you be entering into for the 2018-2019 school year?
Additional Information
Is there anything else you would like the selection committee to know?
Your answer
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