Demographic Information
Thank you for your interest in becoming an At-Large Representative for California Association for the Gifted. Please complete the application and email a letter of endorsement to no later than March 11, 2020.

General responsibilities include:
1. Agreement to act in the best interest of CAG and comply with all CAG approved bylaws, policies, and procedures.
2. Ability and willingness to promote CAG and disseminate information and support services that are responsive to diverse gifted learners in California.
3. Assist the development of the organization to support and advocate for gifted education.
Name: (First name and Last name) *
Title: *
Home address: *
City: *
State: *
Zipcode: *
Home Phone Number (xxx-xxx-xxxx): *
Work Phone Number (xxx-xxx-xxxx): *
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This form was created inside of Placentia-Yorba Linda USD.