Request to Join Caucus
The DPS 109 Caucus is looking for new members. If you are interested in joining the 2018-2019 Caucus, please fill out the form below. More about the Caucus and the requirements for becoming a member can be found on our website at www.dps109caucus.org. Be sure to hit the submit button at the bottom of the questionnaire to register your reply. Thank YOU!
First name:
Your answer
Last name
Your answer
Home address:
Your answer
Telephone number:
Your answer
Email address:
Your answer
Do you currently live within the boundaries of District 109?
Have you lived within the boundaries of District 109 since February 2017?
Are you, or any member of your immediate family, an employee of District 109?
Are you, or any member of your immediate family, a member of the 109 Board of Education?
Are you planning on running as a candidate for the 109 Board of Education?
If you have children attending DPS 109 schools, please indicate which ones from the list below.
Check all that apply.
Self-Funding
The Caucus is now a self-funding organization. At the beginning of the Caucus, we will ask our members to contribute voluntarily $10 to $20 each toward the costs of running the Caucus, if she or he is financially able.
Required
Please include any additional comments or questions you might have here.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of dps109caucus. Report Abuse - Terms of Service - Additional Terms