HCCPTA/HCSEPTA ESE Parent Rep Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The ESE Parent Rep Initiative places dedicated parent representatives within local school PTAs to act as liaisons between ESE families, school staff, and the broader school community. These parent reps work to bridge gaps in communication and ensure that the needs and voices of ESE families are heard and addressed.

Please fill out this survey to help us better understand your interest and to shape the future of this initiative.

Your Name
*

Your Email
*

Phone Number

The School With Which You Are Associated
*

Your role (Check all that apply)
*

Parent of an ESE student

Parent of a non-ESE student

PTA Board Member

PTA Committee Chair

Educator (teacher, aide, para, staff, administrator, etc.)

Other:

Required

Please describe your role with the PTA, School, etc. (Be specific)

Does your PTA/PTSA currently have an ESE Parent Rep (or equivalent)?

Additional Comments?

If so, who is that person? Please list their name, title, etc. (as much as you know)

If no, is your local PTA unit or school interested in adding a school-level ESE Chair to the local PTA?

How would you like to be involved?

I would like to be (or already am) an ESE Parent Rep for my Local PTA Unit

I would like to see my local PTA create/add this position

I would like to help share/create resources for the ESE Parent Rep Program

I would like more information

Other:

Additional Questions/Comments?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Hillsborough County SEPTA.

Does this form look suspicious? Report

Forms