21st CCLC Advisory Council Interest Form

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

We Are COMMUNITY! Project Advisory Council and STEM and the Arts Project Advisory Council will consist of an 11-member team who's primary focus is to maintain communication among stakeholders, receive timely updates and make suggestions for improvement of the grant. Members will consist of parents, students, project collaborators, the business community, and local government, and other stakeholders.

Email *

Name *

Phone Number *

If you have a child(ren) attending school in the district, please select which school. *

Jefferson County Elementary School

Jefferson County Upper Elementary School

Jefferson County Junior High School

Jefferson County High School

N/A

Required

Will you be available to meet quarterly or more as often as needed? *

Yes, I will be able to attend meetings regularly.

No, I will not be able to attend meetings.

Would you be interested in serving as the chairperson?

Yes

Maybe

Clear selection

Are you interested in volunteering for the program?

Yes

Maybe

Clear selection

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Jefferson Public School District. Report Abuse

Forms