SIAC Recruiting Sign-Up
Please use this form to volunteer for the Belmond-Klemme CSD School Improvement Advisory Council.

The Belmond-Klemme Board of Directors will appoint a School Improvement Advisory Council (SIAC) to make recommendations to the Board. The SIAC committee shall consist of members representing students, parents, teachers, administrators, and representatives from the local community, which may include representatives of business, industry, labor, community agencies, higher education, or other community constituents. To the extent possible, committee membership shall have balanced representation with regard to race, gender, national origin, and disability.

Email address *
First Name *
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Last Name *
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Home Address
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City and Zip Code
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Preferred e-Mail Address
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Telephone (prefer cell)
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What group or constituents in our community would you represent? (Check all that apply.)
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