Advisory Contact Documentation Form
As a requirement of your Carl Perkins Funding, you will need to meet with your Program of Study advisory board or contact a minimum of two times throughout the year. Please use this form to document your meetings.
Name *
Your answer
School District *
Your answer
Program of Study *
Optional: Link to Minutes
If you recorded your minutes on a Google Doc, and they include the information requested below, please simply link your document here. (Change your share settings to "anyone with the link" - copy and paste the link into this text box.) Only complete the parts of this form not already provided in your minutes.
Your answer
When and where did you meet?
Date October 8, 2013
MM
/
DD
/
YYYY
Location
Who was there?
Please list all of the meeting participants. Remember that your Advisory Board should include at least three members of your community that specifically relate to you Program of Study.
Advisory Member 1
Name, Tiownertle, Business, Phone (OR) Email
Your answer
Advisory Member (2)
Name, Title, Business, Phone (OR) Email
Your answer
Advisory Member (3)
Name, Title, Business, Phone (OR) Email
Your answer
Advisory Member (4)
Name, Title, Business, Phone (OR) Email
Your answer
Optional: Other Advisory Board Members
Please list. Include their name, title, and contact information.
Your answer
Who represented the district at the meeting?
Please list teachers, counselors, administrators, or others that also attended the meeting. Please include their titles.
Your answer
What did you talk about?
Topics of Discussion (1)
Include outcome from discussion or follow up
Your answer
Outcome from Discussion or Follow Up (1)
Include outcome from discussion or follow up
Your answer
Topics of Discussion (2)
Include outcome from discussion or follow up
Your answer
Outcome from Discussion or Follow Up (2)
Include outcome from discussion or follow up
Your answer
Topics of Discussion (3)
Include outcome from discussion or follow up
Your answer
Outcome from Discussion or Follow Up (3)
Include outcome from discussion or follow up
Your answer
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This form was created inside of CESA5.