Become a Member
APPLICATIONS ARE DUE BY FEBRUARY 18, 2024.

Submit this form if you are interested in joining the caucus and we will reach out to you.  

The following individuals may not serve as members of the Caucus:

  1. Current candidates for the School District 109 Board of Education;
  2. Current School District 109 Board of Education Members;
  3. Current full-time employees of School District 109;
  4. Immediate family members of anyone listed in 1 through 4, above
Sign in to Google to save your progress. Learn more
Email *
First name *
Last name *
Do you currently live within the DPS 109 boundaries? *
Have you lived within the boundaries of DPS 109 since January 2023? *
Do you currently have a child attending a DPS 109 school?  *
Please indicate which DPS 109 school(s), if any, you currently have a child attending.
**There is no requirement to have a child attending a DPS 109 school to be a member of the caucus.**
 *
Required
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?
 *
Do you understand that the caucus is self-funded through voluntary contributions? *
Please add any additional comments or questions you have.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of dps109caucus. Report Abuse
Google Forms